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General NPI Number Information
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NPI Number | 1083990915
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Entity Type | Organization
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Legal Business Name | HOME IS WHERE THE HEART IS ELDERCARE
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 901 WALTERS DR.
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City | CEDAR HILL
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State | TX
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Zip | 75104
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Country | US
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Telephone | 314-775-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 901 WALTERS DR.
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City | CEDAR HILL
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State | TX
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Zip | 75104
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Country | US
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Telephone | 314-775-7540
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ADMINISTRATOR
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Name | MS. CHARITY CASEY
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Credential |
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Telephone | 314-775-7540
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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 | N/A
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License Number State | TX
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