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General NPI Number Information
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NPI Number | 1043016785
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Entity Type | Organization
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Legal Business Name | CYC FAMILY CARE CORPORATION
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2918 HALCYON TIME TRL
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City | HOUSTON
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State | TX
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Zip | 77045-4646
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Country | US
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Telephone | 832-368-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 5850 SAN FELIPE ST STE 500
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City | HOUSTON
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State | TX
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Zip | 77057-8003
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Country | US
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Telephone | 832-368-9383
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TESSIE ANITA TIMS
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Credential |
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Telephone | 832-368-9383
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 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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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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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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