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General NPI Number Information
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NPI Number | 1679655088
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Entity Type | Organization
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Legal Business Name | CITIZEN CARE HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4067 LEESHIRE DR
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City | HOUSTON
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State | TX
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Zip | 77025-4037
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Country | US
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Telephone | 713-667-7202
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Fax | 713-667-0712
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Provider Business Mailing Address
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Address Line | 4067 LEESHIRE DR
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City | HOUSTON
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State | TX
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Zip | 77025-4037
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Country | US
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Telephone | 713-667-7202
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Fax | 713-667-0712
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHAKKY AKINRULI
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Credential | RN
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Telephone | 713-667-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage 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 | 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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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009856
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License Number State | TX
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