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General NPI Number Information
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NPI Number | 1073961504
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Entity Type | Organization
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Legal Business Name | BENEVOLENCE HOME CARE
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 12910 BROOK ARBOR CT
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City | PEARLAND
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State | TX
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Zip | 77584-2592
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Country | US
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Telephone | 832-672-5292
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Fax |
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Provider Business Mailing Address
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Address Line | 12910 BROOK ARBOR CT
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City | PEARLAND
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State | TX
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Zip | 77584-2592
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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/ADMINISTRATOR
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Name | MRS. MICHELLE BERNARD
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Credential |
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Telephone | 832-672-5292
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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 |
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License Number State |
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Taxonomy #2
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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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