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General NPI Number Information
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NPI Number | 1669146429
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Entity Type | Organization
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Legal Business Name | ANGELS OF ANNIE HOME CARE LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 11111 KATY FREEWAY SUITE 910
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 346-422-9217
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Fax | 855-426-3916
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Provider Business Mailing Address
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Address Line | 11111 KATY FWY STE 910
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City | HOUSTON
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State | TX
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Zip | 77079-2119
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Country | US
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Telephone | 713-351-0914
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Fax | 855-426-3916
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Authorized Official
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Title or Position | DIRECTOR
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Name | YOLANDA R NEELYS
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Credential |
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Telephone | 346-422-9217
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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 #4
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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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