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NPI Code Detail

MEDICARE: KAI HEART HOME HEALTH CARE

MEDICARE: KAI HEART HOME HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency005743TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184890386
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAI HEART HOME HEALTH CARE
Provider Business Mailing Address
First Line : 1720 REGAL ROW
Second Line : SUITE 235
City : DALLAS
State : TX
Zip : 75235-2299
Country : US
Telephone Number : 214-689-8982
Fax Number :
Provider Business Practice Location Address
First Line : 1720 REGAL ROW
Second Line : SUITE 235
City : DALLAS
State : TX
Zip : 75235-2299
Country : US
Telephone Number : 214-689-8982
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MISS GLORIA THOMPSON
Credential :
Telephone Number : 214-689-8982
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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Directions to “KAI HEART HOME HEALTH CARE ” Practice Location

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