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General NPI Number Information
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NPI Number | 1245614163
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Entity Type | Organization
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Legal Business Name | INTEGRATED ADULT DAY HEALTH & IN-HOME SERVICES, LLC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 5433 WESTHEIMER RD SUITE 403
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City | HOUSTON
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State | TX
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Zip | 77056-5399
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Country | US
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Telephone | 713-714-5625
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Fax | 832-835-2110
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Provider Business Mailing Address
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Address Line | 5433 WESTHEIMER RD STE 403
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City | HOUSTON
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State | TX
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Zip | 77056-5322
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Country | US
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Telephone | 713-383-8790
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR AND MEMBER
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Name | NAMITA SHAH
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Credential |
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Telephone | 713-383-8790
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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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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | TX
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Taxonomy #4
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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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