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NPI 1871531541

NPI 1871531541 : TRADITIONS HHC ACQUISITION LLC : COLLEGE STATION, TX

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General NPI Number Information
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    NPI Number           |    1871531541
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRADITIONS HHC ACQUISITION LLC 
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Dates
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    Enumeration Date     |    06/03/2006
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    1103 ROCK PRAIRIE RD STE 2051A 
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    City                 |    COLLEGE STATION
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    State                |    TX
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    Zip                  |    77845-8344
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    Country              |    US
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    Telephone            |    979-822-5511
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    Fax                  |    979-822-3709
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Provider Business Mailing Address
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    Address Line         |    6840 CAROTHERS PKWY STE 550 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-8002
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    Country              |    US
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    Telephone            |    979-704-6547
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MR. BRIAN  LANTIER 
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    Credential           |    
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    Telephone            |    979-704-6547
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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       |    014288
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    License Number State |    TX
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