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General NPI Number Information
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NPI Number | 1962976175
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Entity Type | Organization
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Legal Business Name | CAREOLOGY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 2855 44TH ST SW STE 100
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City | GRANDVILLE
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State | MI
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Zip | 49418-2685
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Country | US
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Telephone | 616-208-1662
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Fax | 616-208-1690
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Provider Business Mailing Address
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Address Line | 2855 44TH ST SW STE 100
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City | GRANDVILLE
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State | MI
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Zip | 49418-2685
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Country | US
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Telephone | 616-208-1662
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Fax | 616-208-1690
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA DOUGLAS MITCHELL
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Credential |
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Telephone | 616-208-1662
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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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Taxonomy #2
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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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