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General NPI Number Information
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NPI Number | 1992596837
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Entity Type | Organization
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Legal Business Name | BENTRIDGE HOMECARE SOLUTIONS LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 27427 BENTRIDGE PARK LN
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City | KATY
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State | TX
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Zip | 77494-6036
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Country | US
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Telephone | 773-837-5638
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Fax | 888-938-0123
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Provider Business Mailing Address
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Address Line | 27427 BENTRIDGE PARK LN
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City | KATY
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State | TX
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Zip | 77494-6036
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Country | US
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Telephone | 773-837-5638
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Fax | 888-938-0123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADEMOLA FASADE
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Credential |
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Telephone | 773-837-5638
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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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