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General NPI Number Information
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NPI Number | 1417026527
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Entity Type | Organization
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Legal Business Name | HOMEBOUND HOSPICE INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2251 COUNTRY CLUB DR. SUITE123
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City | MANSFIELD
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State | TX
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Zip | 76063-4766
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Country | US
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Telephone | 817-745-9816
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Fax | 682-418-3446
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Provider Business Mailing Address
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Address Line | 2251 COUNTRY CLUB DR. SUITE123
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City | MANSFIELD
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State | TX
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Zip | 76063-4766
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Country | US
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Telephone | 817-745-9816
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Fax | 682-418-3446
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Authorized Official
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Title or Position | CEO
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Name | BRADLEY COLEMAN
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Credential |
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Telephone | 502-544-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 006257
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License Number State | TX
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