Provider Demographics
NPI:1114775772
Name:LONEYA CARE
Entity type:Organization
Organization Name:LONEYA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-403-9563
Mailing Address - Street 1:4335 WHITEFISH LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8097
Mailing Address - Country:US
Mailing Address - Phone:786-403-9563
Mailing Address - Fax:
Practice Address - Street 1:4335 WHITEFISH LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8097
Practice Address - Country:US
Practice Address - Phone:786-403-9563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care