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General NPI Number Information
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NPI Number | 1275722332
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Entity Type | Organization
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Legal Business Name | ALIVE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 350 OAKS TRL STE 140
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City | GARLAND
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State | TX
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Zip | 75043-8015
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Country | US
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Telephone | 972-230-2332
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Fax | 972-274-6756
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Provider Business Mailing Address
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Address Line | 350 OAKS TRL STE 140
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City | GARLAND
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State | TX
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Zip | 75043-8015
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Country | US
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Telephone | 972-230-2332
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Fax | 972-274-6756
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNSON OOMMEN
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Credential |
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Telephone | 214-400-4524
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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 | 013791
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License Number State | TX
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