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General NPI Number Information
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NPI Number | 1144786310
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Entity Type | Organization
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Legal Business Name | MODERN HOMECARE, LLC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 9800 RICHMOND AVE STE 427
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City | HOUSTON
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State | TX
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Zip | 77042-4524
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Country | US
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Telephone | 281-501-0350
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Fax | 888-891-6316
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Provider Business Mailing Address
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Address Line | PO BOX 940691
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City | HOUSTON
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State | TX
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Zip | 77094-7691
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Country | US
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Telephone | 281-501-0350
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Fax | 888-891-6316
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EDRICK BAHAM
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Credential |
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Telephone | 713-244-8397
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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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