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General NPI Number Information
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NPI Number | 1992679393
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Entity Type | Organization
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Legal Business Name | BENEVOLENT HANDS HOME CARE
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1161 E 9TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-5001
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Country | US
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Telephone | 870-580-5109
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Fax | 870-580-5087
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Provider Business Mailing Address
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Address Line | 1161 E 9TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-5001
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Country | US
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Telephone | 870-580-5109
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Fax | 870-580-5087
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Authorized Official
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Title or Position | OWNER/ADMISTRATOR
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Name | KATELYN RILEY
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Credential | PERSONAL CARE
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Telephone | 870-580-5109
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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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Taxonomy #2
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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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