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General NPI Number Information
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NPI Number | 1922175298
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Entity Type | Organization
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Legal Business Name | HEALTH QUEST HOME HEALTH, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 4000 WESLEY ST STE C
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City | GREENVILLE
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State | TX
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Zip | 75401-9015
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Country | US
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Telephone | 903-408-6654
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Fax | 903-408-6659
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Provider Business Mailing Address
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Address Line | 4000 WESLEY ST STE C
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City | GREENVILLE
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State | TX
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Zip | 75401-9015
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Country | US
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Telephone | 903-408-6654
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Fax | 903-408-6659
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LISA R GOODWIN
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Credential | RN
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Telephone | 903-408-6654
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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 |
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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 | 008123
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License Number State | TX
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