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General NPI Number Information
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NPI Number | 1629619655
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Entity Type | Organization
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Legal Business Name | HERITAGE HOMECARE NETWORK LIMITED
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3780 BLOOMFIELD LN
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City | FRISCO
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State | TX
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Zip | 75033-2336
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Country | US
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Telephone | 214-991-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 BLOOMFIELD LN
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City | FRISCO
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State | TX
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Zip | 75033-2336
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Country | US
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Telephone | 214-991-0608
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | DR. OJIMMADU ANDREW ANUGWOM SR.
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Credential |
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Telephone | 214-991-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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