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General NPI Number Information
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NPI Number | 1508698713
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Entity Type | Organization
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Legal Business Name | ENID'S PREMIER HOME CARE, LLC
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 2610 TURNING ROW LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4342
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Country | US
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Telephone | 617-710-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 2610 TURNING ROW LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4342
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Country | US
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Telephone | 617-710-2633
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ELISA ELAINE DOUGLAS
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Credential |
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Telephone | 713-239-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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