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General NPI Number Information
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NPI Number | 1104999648
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Entity Type | Organization
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Legal Business Name | KINGWOOD HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2807 KINGS CROSSING DR SUITE 215
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City | KINGWOOD
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State | TX
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Zip | 77345-5450
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Country | US
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Telephone | 281-361-0715
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Fax | 281-361-7560
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Provider Business Mailing Address
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Address Line | 2807 KINGS CROSSING DR SUITE 215
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City | KINGWOOD
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State | TX
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Zip | 77345-5450
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Country | US
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Telephone | 281-361-0715
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Fax | 281-361-7560
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NICOLE MILLER
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Credential |
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Telephone | 281-361-0715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 8393
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License Number State | TX
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