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NPI 1669230447

NPI 1669230447 : UNITED HEARTS PRIMARY HOME CARE LLC : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1669230447
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITED HEARTS PRIMARY HOME CARE LLC 
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Dates
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    Enumeration Date     |    03/07/2024
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    Last Update Date     |    03/07/2024
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Provider Practice Location Address
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    Address Line         |    1805 RUBEN TORRES SR BLVD STE C1-A 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-1112
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    Country              |    US
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    Telephone            |    956-484-5434
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    Fax                  |    888-516-0752
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Provider Business Mailing Address
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    Address Line         |    890 FRUITDALE DR 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-4109
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    Country              |    US
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    Telephone            |    956-484-5434
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    Fax                  |    888-516-0752
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ROBERTO  ARIZMENDI JR.
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    Credential           |    
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    Telephone            |    956-484-5434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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