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NPI 1932962909

NPI 1932962909 : SLG HEARTS AT HOME LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1932962909
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLG HEARTS AT HOME LLC 
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Dates
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    Enumeration Date     |    02/02/2024
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    Last Update Date     |    02/02/2024
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Provider Practice Location Address
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    Address Line         |    10700 RICHMOND AVE STE 274 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77042-4927
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    Country              |    US
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    Telephone            |    713-263-3967
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    Fax                  |    888-507-7092
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Provider Business Mailing Address
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    Address Line         |    10700 RICHMOND AVE STE 274 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77042-4927
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    Country              |    US
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    Telephone            |    713-263-3967
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    Fax                  |    888-507-7092
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MICHAE  WELFEL 
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    Credential           |    
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    Telephone            |    713-263-3967
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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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