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General NPI Number Information
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NPI Number | 1407889926
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Entity Type | Organization
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Legal Business Name | OMNI HOME HEALTH CARE, L.L.C
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 819 NORTH O'CONNOR ROAD SUITE 101
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City | IRVING
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State | TX
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Zip | 75061-6125
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Country | US
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Telephone | 972-445-0300
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Fax | 972-445-0301
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Provider Business Mailing Address
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Address Line | 819 NORTH O'CONNOR ROAD SUITE 101
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City | IRVING
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State | TX
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Zip | 75061-6125
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Country | US
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Telephone | 972-445-0300
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Fax | 972-445-0301
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GEORGE KOSHY ALEX
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Credential | BS, RRT
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Telephone | 972-445-0300
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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 | 009026
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License Number State | TX
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