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General NPI Number Information
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NPI Number | 1982221610
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Entity Type | Organization
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Legal Business Name | AKOTA HOME CARE LLC
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 121 S TEJON ST SUITE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903
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Country | US
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Telephone | 719-224-0719
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S TEJON ST STE 1100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2253
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Country | US
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Telephone | 719-224-0719
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE TEAM MEMBER
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Name | MR. CHARLES CASEY LINDSAY
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Credential |
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Telephone | 719-602-0305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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