Provider Demographics
NPI:1407604432
Name:CINDYS LIST LLC
Entity type:Organization
Organization Name:CINDYS LIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:IVEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:832-443-6123
Mailing Address - Street 1:1035 RED ROCK CANYON DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3718
Mailing Address - Country:US
Mailing Address - Phone:832-443-6123
Mailing Address - Fax:
Practice Address - Street 1:1035 RED ROCK CANYON DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3718
Practice Address - Country:US
Practice Address - Phone:832-443-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251X00000XAgenciesSupports Brokerage
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty