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General NPI Number Information
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NPI Number | 1982577557
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Entity Type | Organization
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Legal Business Name | OPULENT CARE HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 480 OLDE WORTHINGTON RD STE 200
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City | WESTERVILLE
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State | OH
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Zip | 43082-9381
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Country | US
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Telephone | 614-783-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 937 TAYLOR STATION RD UNIT 307
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City | COLUMBUS
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State | OH
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Zip | 43230-6911
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Country | US
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Telephone | 216-902-1999
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. LATEA MONEE JOHNSON
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Credential |
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Telephone | 216-902-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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