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General NPI Number Information
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NPI Number | 1942847124
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Entity Type | Organization
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Legal Business Name | PRECISION HOME HEALTH, LLC
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 8100 THREE CHOPT RD RM 225
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City | HENRICO
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State | VA
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Zip | 23229-4800
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Country | US
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Telephone | 202-763-2290
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Fax | 540-566-3757
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Provider Business Mailing Address
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Address Line | 8100 THREE CHOPT RD RM 225
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City | HENRICO
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State | VA
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Zip | 23229-4800
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Country | US
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Telephone | 202-763-2290
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHADRACK JORAM BAMPEBUYE
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Credential |
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Telephone | 202-763-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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