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General NPI Number Information
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NPI Number | 1275822009
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Entity Type | Organization
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Legal Business Name | HOMAGE HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2805 CLAREMONT DR
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City | MANSFIELD
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State | TX
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Zip | 76063-7943
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Country | US
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Telephone | 817-464-8905
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Fax | 817-394-2032
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Provider Business Mailing Address
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Address Line | 2805 CLAREMONT DR
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City | MANSFIELD
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State | TX
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Zip | 76063-7943
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Country | US
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Telephone | 817-464-8905
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Fax | 817-394-2032
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | LILIAN SHEPARD
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Credential |
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Telephone | 817-375-0333
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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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