1508072000 NPI number — FE CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508072000 NPI number — FE CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FE CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508072000
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19365 FM 2252
Provider Second Line Business Mailing Address:
SUITE 9
Provider Business Mailing Address City Name:
GARDEN RIDGE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78266-2565
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-651-3077
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19365 FM 2252
Provider Second Line Business Practice Location Address:
SUITE 9
Provider Business Practice Location Address City Name:
GARDEN RIDGE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78266-2566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-651-3077
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FLORES
Authorized Official First Name:
LIONEL
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT ADMINISTRATION
Authorized Official Telephone Number:
210-651-3077

Provider Taxonomy Codes

  • Taxonomy code: 310500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1004215 . This is a "CENTURY HOUSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004220 . This is a "RIO BLANCO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004222 . This is a "BISHOP HOUSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004221 . This is a "MCCARTY HOUSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004213 . This is a "INDIAN WELLS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004211 . This is a "WALTON HOUSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004217 . This is a "CASA GUADALUPE I" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004219 . This is a "CASA GUADALUPE II" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004212 . This is a "LAGO VISTA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004214 . This is a "SCISSORTAIL VILLA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1004216 . This is a "MOCKINGBIRD VILLA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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