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General NPI Number Information
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NPI Number | 1023128220
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Entity Type | Organization
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Legal Business Name | GSHS HOME HEALTH, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 103 W LOOP 281 STE 470
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City | LONGVIEW
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State | TX
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Zip | 75605-4659
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Country | US
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Telephone | 903-686-9251
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Fax | 903-686-9253
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSHUA L. PROFFITT
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Credential |
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Telephone | 337-233-1307
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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 | 010039
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License Number State | TX
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