Provider Demographics
NPI:1104136001
Name:KORDIE ENTERPRISES, INC.
Entity type:Organization
Organization Name:KORDIE ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORDIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-639-3314
Mailing Address - Street 1:2802 FIRECREST DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0653
Mailing Address - Country:US
Mailing Address - Phone:281-670-8826
Mailing Address - Fax:
Practice Address - Street 1:616 FM 1960 RD W
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3000
Practice Address - Country:US
Practice Address - Phone:281-440-5160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care