A 1099 is issued by an entity that paid out for non-employee services, rents, or other reportable payments. You are not required to submit a 1099 to your care provider in this situation.
Most structured care facilities provide a statement to their customers to confirm how much was paid in the tax year and that is what is used to complete Form 2441. If you do not have the total yourself, you should ask your provider to confirm the total amount you paid.
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