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General NPI Number Information
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NPI Number | 1023938040
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Entity Type | Organization
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Legal Business Name | RESTORE HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 6218 BAKERMIST LANE 6218 BAKERMIST LANEKATY, TX 77450
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 832-436-7029
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 BAKERMIST LANE 6218 BAKERMIST LANEKATY, TX 77450
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 832-436-7029
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GLORIA OMIGIE
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Credential | ADMINISTRATOR
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Telephone | 832-436-7029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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