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General NPI Number Information
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NPI Number | 1952266116
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Entity Type | Organization
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Legal Business Name | HOMEWATCH CAREGIVERS OF LAKE COUNTY
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 9277 CANTERBURY LN
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City | MENTOR
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State | OH
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Zip | 44060-6405
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Country | US
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Telephone | 810-964-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 9277 CANTERBURY LN
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City | MENTOR
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State | OH
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Zip | 44060-6405
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Country | US
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Telephone | 810-964-2615
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA PETERSON
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Credential |
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Telephone | 810-964-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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