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General NPI Number Information
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NPI Number | 1144915984
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Entity Type | Organization
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Legal Business Name | ARROW SENIOR CONCIERGE LLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4660 KINSEY DR
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City | TYLER
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State | TX
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Zip | 75703-1007
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Country | US
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Telephone | 903-871-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 15607 TUCSON OAKS DR
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City | TYLER
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State | TX
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Zip | 75707-7129
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Country | US
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Telephone | 903-805-7073
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SIMONE SPARKS
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Credential | BSN
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Telephone | 903-805-7073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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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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