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General NPI Number Information
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NPI Number | 1972487049
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Entity Type | Organization
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Legal Business Name | MISSION: KINDNESS, LLC
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 1280 BROWN ST STE G
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City | OCONOMOWOC
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State | WI
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Zip | 53066-2489
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Country | US
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Telephone | 262-746-8054
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Fax |
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Provider Business Mailing Address
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Address Line | W254N5083 MCKERROW DR
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City | PEWAUKEE
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State | WI
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Zip | 53072-1304
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Country | US
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Telephone | 912-704-7420
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Fax |
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Authorized Official
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Title or Position | MANAGER / OWNER
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Name | SARA ATWOOD
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Credential |
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Telephone | 912-704-7420
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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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