Provider Demographics
NPI:1669067856
Name:STATS FAMILY CARE LLC
Entity type:Organization
Organization Name:STATS FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-397-0569
Mailing Address - Street 1:13611 SADDLEBRED SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7446
Mailing Address - Country:US
Mailing Address - Phone:832-397-0569
Mailing Address - Fax:
Practice Address - Street 1:13611 SADDLEBRED SPRINGS LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7446
Practice Address - Country:US
Practice Address - Phone:832-397-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty