Provider Demographics
NPI:1386264208
Name:VILLAGE CARE, LLC.
Entity type:Organization
Organization Name:VILLAGE CARE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FEFI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-556-8773
Mailing Address - Street 1:9950 WESTPARK DR STE 424
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5271
Mailing Address - Country:US
Mailing Address - Phone:833-556-8773
Mailing Address - Fax:833-666-7325
Practice Address - Street 1:9950 WESTPARK DR STE 424
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5271
Practice Address - Country:US
Practice Address - Phone:833-556-8773
Practice Address - Fax:833-666-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health