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General NPI Number Information
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NPI Number | 1487944765
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Entity Type | Organization
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Legal Business Name | A CARING HEART RESIDENTIAL SERVICES
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 13189 VETERANS MEMORIAL DR STE 7
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City | HOUSTON
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State | TX
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Zip | 77014-1900
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Country | US
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Telephone | 713-927-5831
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Fax |
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Provider Business Mailing Address
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Address Line | 13189 VETERANS MEMORIAL DR. STE#7
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City | HOUSTON
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State | TX
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Zip | 77014
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Country | US
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Telephone | 713-927-5831
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NUSHANTA L STUBBS
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Credential | BACHELOR
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Telephone | 713-927-5831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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