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General NPI Number Information
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NPI Number | 1427644194
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Entity Type | Organization
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Legal Business Name | AMBIT HOME HEALTHCARE AGENCY LLC
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 6201 BONHOMME RD
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City | HOUSTON
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State | TX
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Zip | 77036-4365
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Country | US
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Telephone | 713-493-3934
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 LOUISIANA ST STE 400-619
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City | HOUSTON
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State | TX
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Zip | 77006-2380
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Country | US
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Telephone | 713-398-4383
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. RHONDA RENEE JENKINS
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Credential | MBA/MHA
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Telephone | 713-398-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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