Provider Demographics
NPI:1588730808
Name:WILCARE, INC.
Entity type:Organization
Organization Name:WILCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:DIEP
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-679-6997
Mailing Address - Street 1:10440 WESTOFFICE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5309
Mailing Address - Country:US
Mailing Address - Phone:281-679-6997
Mailing Address - Fax:281-679-6928
Practice Address - Street 1:10440 WESTOFFICE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5309
Practice Address - Country:US
Practice Address - Phone:281-679-6997
Practice Address - Fax:281-679-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004096251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013334Medicaid
TX000060200Medicaid