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General NPI Number Information
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NPI Number | 1174505051
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS HOME HEALTHCARE PLUS, INC.
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 14020 HIGHWAY 3, SUITE 120 NEW DIMENSIONS HOME HEALTHCARE PLUS
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City | WEBSTER
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State | TX
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Zip | 77598-1601
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Country | US
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Telephone | 281-998-9611
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Fax | 281-998-9308
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Provider Business Mailing Address
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Address Line | 14020 HIGHWAY 3, SUITE 120 NEW DIMENSIONS HOME HEALTHCARE PLUS
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City | WEBSTER
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State | TX
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Zip | 77598-1601
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Country | US
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Telephone | 281-998-9611
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Fax | 281-998-9308
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Authorized Official
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Title or Position | CEO
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Name | MR. RANDALL LIGHTFOOT
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Credential |
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Telephone | 281-998-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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 #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007915
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License Number State | TX
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