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NPI 1508815135

NPI 1508815135 : RED RIVER HEALTH CARE SYSTEMS, INC. : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1508815135
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    Entity Type          |    Organization 
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    Legal Business Name  |    RED RIVER HEALTH CARE SYSTEMS, INC. 
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Dates
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    Enumeration Date     |    05/10/2006
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    Last Update Date     |    01/24/2025
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Provider Practice Location Address
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    Address Line         |    2152 CLARKSVILLE ST 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-6246
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    Country              |    US
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    Telephone            |    903-785-4070
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    Fax                  |    903-785-9725
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Provider Business Mailing Address
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    Address Line         |    2152 CLARKSVILLE ST 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-6246
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    Country              |    US
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    Telephone            |    903-785-4070
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    Fax                  |    903-785-9725
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Authorized Official
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    Title or Position    |    CEO OWNER
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    Name                 |     JOHN H GABBERT 
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    Credential           |    
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    Telephone            |    903-785-4070
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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       |    001497
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    7491
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    License Number State |    OK
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Taxonomy #3
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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 #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        |    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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