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General NPI Number Information
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NPI Number | 1285804211
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Entity Type | Organization
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Legal Business Name | ENVISION HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 310 EAST I 30 SUITE 314
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City | GARLAND
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State | TX
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Zip | 75043-8000
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Country | US
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Telephone | 972-285-7286
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Fax | 972-285-7286
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Provider Business Mailing Address
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Address Line | 310 EAST I 30 SUITE 314
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City | GARLAND
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State | TX
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Zip | 75043-8000
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Country | US
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Telephone | 972-285-7286
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Fax | 972-285-7286
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. BOBBY SAMUEL KOSHY
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Credential |
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Telephone | 214-450-4306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 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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