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NPI 1245940758

NPI 1245940758 : MASE HOME HEALTH CARE INC : KATY, TX

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General NPI Number Information
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    NPI Number           |    1245940758
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    Entity Type          |    Organization 
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    Legal Business Name  |    MASE HOME HEALTH CARE INC 
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Dates
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    Enumeration Date     |    11/25/2022
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    Last Update Date     |    10/27/2023
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Provider Practice Location Address
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    Address Line         |    1618 GRAYSON LAKES BLVD 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-5857
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    Country              |    US
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    Telephone            |    919-802-5636
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1618 GRAYSON LAKES BLVD 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-5857
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    Country              |    US
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    Telephone            |    919-802-5636
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER & CEO/ ADMINISTRATOR
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    Name                 |    DR. MONA  FARGHALY 
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    Credential           |    PHARMD
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    Telephone            |    919-802-5636
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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        |    253J00000X
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    Taxonomy Name        |    Foster Care 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        |    335V00000X
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    Taxonomy Name        |    Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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 #6
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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 #8
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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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