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General NPI Number Information
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NPI Number | 1093251928
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Entity Type | Organization
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Legal Business Name | WIHELMENA CARE CENTER
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 9502 ROSEHAVEN DR
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City | HOUSTON
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State | TX
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Zip | 77051-3131
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Country | US
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Telephone | 832-621-9359
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 BRETT DR
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City | PEARLAND
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State | TX
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Zip | 77584-1236
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Country | US
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Telephone | 832-621-9359
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | PEGGY PENN
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Credential | BSN, MBA/HCM
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Telephone | 832-621-9359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 666663
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 666663
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 666663
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 666663
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 666663
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 666663
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 666663
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 666663
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 666663
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 666663
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | 666663
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 666663
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 666663
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License Number State | TX
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Taxonomy #14
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 666663
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License Number State | TX
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Taxonomy #15
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 666663
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License Number State | TX
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