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General NPI Number Information
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NPI Number | 1265250658
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Entity Type | Organization
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Legal Business Name | QUALITY HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 1130 CAMINO LA COSTA APT 348
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City | AUSTIN
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State | TX
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Zip | 78752-3986
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Country | US
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Telephone | 512-410-1164
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Fax | 512-410-6295
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Provider Business Mailing Address
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Address Line | 1130 CAMINO LA COSTA APT 348
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City | AUSTIN
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State | TX
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Zip | 78752-3986
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Country | US
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Telephone | 512-410-1164
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Fax | 512-410-6295
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | JAMES BUSHEL MARVIN
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Credential |
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Telephone | 512-635-0047
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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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