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General NPI Number Information
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NPI Number | 1588737712
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Entity Type | Organization
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Legal Business Name | EL-SHADDAI CARE SERVICES, INC.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 7707 FAWN TERRACE DR
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City | HOUSTON
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State | TX
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Zip | 77071-2718
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Country | US
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Telephone | 713-728-2677
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Fax | 713-728-8226
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Provider Business Mailing Address
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Address Line | 7707 FAWN TERRACE DR
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City | HOUSTON
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State | TX
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Zip | 77071-2718
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Country | US
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Telephone | 713-728-2677
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Fax | 713-728-8226
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Authorized Official
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Title or Position | AUTH LICENTIAM AGENT
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Name | JUAN C NIETO
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Credential |
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Telephone | 973-580-3112
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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 | 007009
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License Number State | TX
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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