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General NPI Number Information
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NPI Number | 1548623911
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Entity Type | Organization
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Legal Business Name | AT HOME HEALTH CARE HOSPICE, INC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 10701 CORPORATE DR STE 294
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City | STAFFORD
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State | TX
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Zip | 77477-4096
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Country | US
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Telephone | 832-538-0973
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Fax | 281-919-2930
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Provider Business Mailing Address
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Address Line | 10701 CORPORATE DR STE 294
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City | STAFFORD
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State | TX
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Zip | 77477-4094
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Country | US
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Telephone | 832-538-0973
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Fax | 281-919-2930
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS R REYNALDO HERRERA MD
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Credential | MD
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Telephone | 713-302-6816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 315D00000X
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Taxonomy Name | Inpatient Hospice
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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