Provider Demographics
NPI:1215665500
Name:UNDER ELONDA' S CARE LLC
Entity type:Organization
Organization Name:UNDER ELONDA' S CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMBAKASA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:832-955-3125
Mailing Address - Street 1:7211 SAN LUCAS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2718
Mailing Address - Country:US
Mailing Address - Phone:832-955-3125
Mailing Address - Fax:
Practice Address - Street 1:13839 PURPLEMARTIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6867
Practice Address - Country:US
Practice Address - Phone:183-295-5312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility