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General NPI Number Information
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NPI Number | 1295748937
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Entity Type | Organization
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Legal Business Name | SUPREMACY HOME HEALTH
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6020 UPSHAW DR STE 103
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City | HUMBLE
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State | TX
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Zip | 77396-3269
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Country | US
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Telephone | 713-208-1295
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Fax |
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Provider Business Mailing Address
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Address Line | 6726 FOREST MEWS CT
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City | HOUSTON
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State | TX
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Zip | 77049-1561
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SANDRA P WHITE
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Credential | REGISTERED NURSE
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Telephone | 713-208-1295
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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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