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General NPI Number Information
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NPI Number | 1508538968
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HOME CARE SOLUTIONS, LLC,
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1904 JONATHON DR STE B
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City | MISSION
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State | TX
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Zip | 78572-8555
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Country | US
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Telephone | 956-598-7322
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Fax | 956-594-4225
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Provider Business Mailing Address
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Address Line | 1904 JONATHON DR STE B
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City | MISSION
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State | TX
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Zip | 78572-8555
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Country | US
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Telephone | 956-598-7322
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Fax | 956-594-4225
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Authorized Official
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Title or Position | CEO
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Name | JOSE MANUEL HERNANDEZ
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Credential |
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Telephone | 956-598-7322
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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 |
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License Number State |
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