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NPI 1831101880

NPI 1831101880 : ANGELS OF MERCY HOME HEALTH, LLC : PALMVIEW, TX

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General NPI Number Information
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    NPI Number           |    1831101880
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELS OF MERCY HOME HEALTH, LLC 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    01/04/2023
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Provider Practice Location Address
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    Address Line         |    910 E PALMA VISTA DR STE A 
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    City                 |    PALMVIEW
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    State                |    TX
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    Zip                  |    78572-2048
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    Country              |    US
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    Telephone            |    956-583-9995
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    Fax                  |    956-583-1305
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Provider Business Mailing Address
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    Address Line         |    910 E PALMA VISTA DR STE A 
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    City                 |    PALMVIEW
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    State                |    TX
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    Zip                  |    78572-2048
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    Country              |    US
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    Telephone            |    956-583-9995
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    Fax                  |    956-583-1305
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Authorized Official
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    Title or Position    |    ALTERNATE ADMINISTRATOR
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    Name                 |     EVA C AGUAYO 
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    Credential           |    LVN
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    Telephone            |    956-583-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    009584
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    License Number State |    TX
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