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General NPI Number Information
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NPI Number | 1730105438
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Entity Type | Organization
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Legal Business Name | HOME HEALTH CARE OF HUNTSVILLE, CO.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2505 LAKE RD SUITE 2
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City | HUNTSVILLE
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State | TX
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Zip | 77340
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Country | US
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Telephone | 936-291-8439
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Fax | 936-291-8582
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Provider Business Mailing Address
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Address Line | PO BOX 6548 2505 LAKE RD STE 2
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City | HUNTSVILLE
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State | TX
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Zip | 77342-6548
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Country | US
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Telephone | 936-291-8439
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Fax | 936-291-8582
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID DESHAW
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Credential |
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Telephone | 936-291-8439
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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 | 001674
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License Number State | TX
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Taxonomy #2
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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 #3
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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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