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NPI 1962394429

NPI 1962394429 : REDLINE HOME HEALTH LLC : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1962394429
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    Entity Type          |    Organization 
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    Legal Business Name  |    REDLINE HOME HEALTH LLC 
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Dates
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    Enumeration Date     |    07/18/2025
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    Last Update Date     |    07/18/2025
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Provider Practice Location Address
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    Address Line         |    405 STATE HIGHWAY 121 BYP STE A250 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-4183
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    Country              |    US
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    Telephone            |    945-382-4244
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    405 STATE HIGHWAY 121 BYP STE A250 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-4183
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    Country              |    US
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    Telephone            |    945-382-4244
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL  RED 
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    Credential           |    
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    Telephone            |    402-957-7726
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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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