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General NPI Number Information
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NPI Number | 1013706514
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Entity Type | Organization
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Legal Business Name | HOMECARE VITAL SOLUTIONS LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 10815 BEECHNUT ST STE 128
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City | HOUSTON
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State | TX
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Zip | 77072-4491
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Country | US
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Telephone | 346-370-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 10815 BEECHNUT ST STE 128
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City | HOUSTON
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State | TX
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Zip | 77072-4491
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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 | OWNER, PRESIDENT
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Name | EDUARDO GABRIEL TELLEZ VELAZQUEZ
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Credential |
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Telephone | 346-370-8432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 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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