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General NPI Number Information
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NPI Number | 1710761101
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Entity Type | Organization
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Legal Business Name | FERNANDEZ CARE ASSISTANCE, LLC
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 507 SAM HOUSTON BLVD
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City | SAN JUAN
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State | TX
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Zip | 78589-2428
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Country | US
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Telephone | 956-560-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 507 SAM HOUSTON BLVD
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City | SAN JUAN
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State | TX
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Zip | 78589-2428
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Country | US
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Telephone | 956-560-7626
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. RICARDO FERNANDEZ
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Credential |
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Telephone | 956-560-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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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 #9
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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 #10
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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 #11
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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Taxonomy #12
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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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