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General NPI Number Information
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NPI Number | 1932387321
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SENIOR CARE HOME HEALTH OF SAN ANTONIO LLC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 140 HEIMER RD STE 120A
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5028
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Country | US
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Telephone | 210-248-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 615-344-9551
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Fax |
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Authorized Official
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Title or Position | CFO, HOME HEALTH & HOSPICE
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Name | WILLIAM BRADLEY PARRISH
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Credential |
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Telephone | 512-565-8439
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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 | 012015
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License Number State | TN
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