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NPI 1487637021

NPI 1487637021 : CAPROCK HOME HEALTH SERVICES, INC. : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1487637021
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPROCK HOME HEALTH SERVICES, INC. 
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Dates
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    Enumeration Date     |    11/29/2005
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    Last Update Date     |    12/21/2022
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Provider Practice Location Address
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    Address Line         |    8806 UNIVERSITY AVE 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79423-3152
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    Country              |    US
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    Telephone            |    806-792-2660
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    Fax                  |    806-792-1347
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Provider Business Mailing Address
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    Address Line         |    8806 UNIVERSITY AVE 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79423-3152
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    Country              |    US
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    Telephone            |    806-791-0077
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    Fax                  |    806-748-7837
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |     MARTHA  MORALES 
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    Credential           |    
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    Telephone            |    806-791-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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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        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    001401
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    001401
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    License Number State |    TX
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