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General NPI Number Information
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NPI Number | 1205583440
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Entity Type | Organization
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Legal Business Name | ELITE MEDICAL HOME CARE LP
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 103E CARRIAGE DR
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City | LUFKIN
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State | TX
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Zip | 75904-0880
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Country | US
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Telephone | 936-637-2273
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Fax | 800-729-6519
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Provider Business Mailing Address
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Address Line | PO BOX 1743
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City | LUFKIN
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State | TX
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Zip | 75902-1743
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Country | US
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Telephone | 936-366-8159
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Fax | 800-729-6519
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Authorized Official
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Title or Position | CEO
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Name | MARY KATHERINE NARANJO
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Credential |
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Telephone | 936-366-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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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Taxonomy #3
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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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