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NPI 1891511978

NPI 1891511978 : BEYOND BLESSED HOME HEALTHCAREVSERVICES LLC : GRAND PRAIRIE, TX

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General NPI Number Information
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    NPI Number           |    1891511978
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEYOND BLESSED HOME HEALTHCAREVSERVICES LLC 
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Dates
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    Enumeration Date     |    11/23/2024
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    Last Update Date     |    11/23/2024
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Provider Practice Location Address
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    Address Line         |    2733 SPARTACUS DR 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-7011
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    Country              |    US
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    Telephone            |    214-529-3425
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2733 SPARTACUS DR 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-7011
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TIFFANY  HUGHES 
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    Credential           |    
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    Telephone            |    214-529-3425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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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       |    
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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       |    
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    License Number State |    
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