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NPI 1164082665

NPI 1164082665 : PARAGON HEALTH CARE SERVICES INC : FORNEY, TX

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General NPI Number Information
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    NPI Number           |    1164082665
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARAGON HEALTH CARE SERVICES INC 
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Dates
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    Enumeration Date     |    06/17/2019
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    Last Update Date     |    03/14/2023
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Provider Practice Location Address
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    Address Line         |    2023 ROSEBURY LN 
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    City                 |    FORNEY
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    State                |    TX
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    Zip                  |    75126-0919
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    Country              |    US
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    Telephone            |    469-740-4482
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    Fax                  |    972-357-7017
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Provider Business Mailing Address
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    Address Line         |    2023 ROSEBURY LN 
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    City                 |    FORNEY
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    State                |    TX
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    Zip                  |    75126-0919
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    Country              |    US
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    Telephone            |    469-740-4482
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    Fax                  |    972-357-7017
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CELESTINE  ONONIWU 
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    Credential           |    
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    Telephone            |    469-740-4482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    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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