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General NPI Number Information
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NPI Number | 1306135272
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Entity Type | Organization
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Legal Business Name | HOME HEALTH ENDEAVORS, LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 10/30/2011
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Provider Practice Location Address
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Address Line | 1916 GRANDSTAND DR
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City | SAN ANTONIO
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State | TX
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Zip | 78238-4508
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Country | US
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Telephone | 210-520-0257
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Fax | 866-341-6398
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Provider Business Mailing Address
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Address Line | 1916 GRANDSTAND DR
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City | SAN ANTONIO
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State | TX
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Zip | 78238-4508
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Country | US
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Telephone | 210-520-0257
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Fax | 866-341-6398
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR OF OPERATIONS
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Name | MR. TIMOTHY J MILLETICS
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Credential |
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Telephone | 210-520-0257
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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 | 014293
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License Number State | TX
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