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General NPI Number Information
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NPI Number | 1851617138
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Entity Type | Organization
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Legal Business Name | LA MISERICORDIA HOME CARE SERVICE, LLC.
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1620 MCCLELLAND AVE # 2
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City | LAREDO
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State | TX
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Zip | 78040-4630
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Country | US
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Telephone | 956-712-2834
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Fax | 956-723-9949
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Provider Business Mailing Address
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Address Line | 306 RICHMOND CT
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City | LAREDO
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State | TX
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Zip | 78045-2330
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Country | US
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Telephone | 956-712-2834
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Fax | 956-723-9949
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Authorized Official
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Title or Position | OWNER
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Name | MARIO A. MARTINEZ
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Credential |
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Telephone | 956-712-2834
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 013548
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License Number State | TX
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