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General NPI Number Information
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NPI Number | 1396270914
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Entity Type | Organization
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Legal Business Name | CASA TRINIDAD IN-HOME CARE, LLC
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 3315 BURKE RD STE 240-B
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City | PASADENA
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State | TX
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Zip | 77504-1827
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Country | US
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Telephone | 832-603-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 SPACE CENTER BLVD. #121
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City | PASADENA
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State | TX
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Zip | 77505-1638
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Country | US
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Telephone | 832-672-6648
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Fax | 832-672-6312
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MARIA INEZ ALANIZ
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Credential |
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Telephone | 956-208-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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