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NPI 1285939256

NPI 1285939256 : SETON RIVER BEND HOME HEALTH, LLC : KYLE, TX

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General NPI Number Information
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    NPI Number           |    1285939256
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    Entity Type          |    Organization 
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    Legal Business Name  |    SETON RIVER BEND HOME HEALTH, LLC 
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Dates
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    Enumeration Date     |    01/21/2011
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    1300 DACY LANE SUITE 170
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    City                 |    KYLE
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    State                |    TX
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    Zip                  |    78640-4195
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    Country              |    US
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    Telephone            |    512-549-3490
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    Fax                  |    512-549-3495
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Provider Business Mailing Address
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    Address Line         |    1300 DACY LANE SUITE 170
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    City                 |    KYLE
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    State                |    TX
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    Zip                  |    78640-4195
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    Country              |    US
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    Telephone            |    512-549-3490
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    Fax                  |    512-549-3495
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Authorized Official
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    Title or Position    |    SVP, CHIEF LEGAL OFFICER
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    Name                 |     RUSSELL  ADKINS 
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    Credential           |    
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    Telephone            |    615-926-0340
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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       |    016887
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    License Number State |    TX
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