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General NPI Number Information
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NPI Number | 1720686959
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Entity Type | Organization
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Legal Business Name | ENLIGHTENED GEMS HOME HEALTHCARE INC
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 3859 E SOUTHCROSS BLVD STE G
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3531
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Country | US
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Telephone | 210-549-5040
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Fax | 210-549-4269
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Provider Business Mailing Address
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Address Line | 3859 E SOUTHCROSS BLVD STE G
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3531
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Country | US
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Telephone | 210-549-5040
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Fax | 210-549-4269
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | ARIEL KIDD
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Credential | BSN, RN
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Telephone | 210-549-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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 #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #5
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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 #6
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 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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