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NPI 1992141279

NPI 1992141279 : HOME BOUND CARE, INC. : LAUDERDALE LAKES, FL

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General NPI Number Information
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    NPI Number           |    1992141279
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME BOUND CARE, INC. 
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Dates
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    Enumeration Date     |    05/14/2013
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    2331 N STATE ROAD 7 #220
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    City                 |    LAUDERDALE LAKES
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    State                |    FL
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    Zip                  |    33313-3748
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    Country              |    US
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    Telephone            |    954-730-3200
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    Fax                  |    305-652-1290
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Provider Business Mailing Address
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    Address Line         |    2331 N STATE ROAD 7 #220
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    City                 |    LAUDERDALE LAKES
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    State                |    FL
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    Zip                  |    33313-3748
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    Country              |    US
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    Telephone            |    954-730-3200
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    Fax                  |    305-652-1290
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MISS JACKIE  CARTER 
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    Credential           |    RN,C
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    Telephone            |    305-652-3100
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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       |    299994304
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    License Number State |    FL
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