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General NPI Number Information
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NPI Number | 1952282089
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Entity Type | Organization
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Legal Business Name | ABLECARE HOME HEALTH
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 7005 YORKSTON ST
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City | WATAUGA
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State | TX
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Zip | 76148-1975
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Country | US
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Telephone | 817-687-1006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48231
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City | WATAUGA
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State | TX
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Zip | 76148-0231
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Country | US
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Telephone | 817-687-1006
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DESTINYE WILLIS
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Credential |
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Telephone | 817-721-6076
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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 | 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 | 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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