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General NPI Number Information
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NPI Number | 1932799293
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HEARTS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 6000 ALTERSGATE LN APT 2106
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City | ARLINGTON
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State | TX
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Zip | 76001-7928
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Country | US
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Telephone | 682-414-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 ALTERSGATE LN APT 2106
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City | ARLINGTON
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State | TX
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Zip | 76001-7928
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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 | ADMINISTRATOR
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Name | JACKLINE BEGUMISA NAMARA
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Credential |
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Telephone | 682-414-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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