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General NPI Number Information
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NPI Number | 1891158051
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Entity Type | Organization
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Legal Business Name | JADA HOME HEALTH LLC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 401 WINNIPEG AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78526-9449
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Country | US
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Telephone | 956-404-7466
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N EXPRESSWAY 77/83 SUITE #163
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-404-7466
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ISABEL TERESA RODRIGUEZ
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Credential |
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Telephone | 958-404-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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