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General NPI Number Information
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NPI Number | 1780745737
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Entity Type | Organization
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Legal Business Name | COMPLETE HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 942 VISADOR ROAD
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City | JASPER
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State | TX
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Zip | 75951-4222
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Country | US
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Telephone | 409-384-3040
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Fax | 409-386-0159
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Provider Business Mailing Address
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Address Line | 942 VISADOR ROAD
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City | JASPER
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State | TX
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Zip | 75951-4222
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Country | US
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Telephone | 409-384-3040
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Fax | 409-386-0159
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERNESTO DOMENECH
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Credential |
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Telephone | 409-384-3040
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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 | 003520
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License Number State | TX
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