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General NPI Number Information
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NPI Number | 1194679514
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Entity Type | Organization
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Legal Business Name | A GREAT LIFE HOME CARE, LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1654 N. HIGHWAY 359
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City | MATHIS
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State | TX
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Zip | 78368
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Country | US
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Telephone | 361-678-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 1654 N. HIGHWAY 359
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City | MATHIS
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State | TX
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Zip | 78368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. PEDRO HINOJOSA
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Credential |
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Telephone | 361-510-9452
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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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