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General NPI Number Information
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NPI Number | 1992657290
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Entity Type | Organization
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Legal Business Name | MAMIE JANES HOME CARE LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 15275 RADIANCE DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4693
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Country | US
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Telephone | 463-626-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 15275 RADIANCE DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4693
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NATASHA GRIGLEY
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Credential |
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Telephone | 463-626-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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