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General NPI Number Information
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NPI Number | 1952614067
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Entity Type | Organization
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Legal Business Name | AGELESS LIVING HOME HEALTH LLC
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6777 CAMP BOWIE BLVD STE 650A
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City | FORT WORTH
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State | TX
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Zip | 76116-7155
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Country | US
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Telephone | 817-810-0660
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Fax | 903-532-1401
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Provider Business Mailing Address
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Address Line | 7300 STATE HIGHWAY 121 STE 700
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City | MCKINNEY
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State | TX
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Zip | 75070-2414
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Country | US
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Telephone | 210-875-0853
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Fax | 903-532-1400
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Authorized Official
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Title or Position | CEO
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Name | JESSICA RIGGS
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Credential | RN
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Telephone | 903-271-2847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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Taxonomy #6
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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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