Provider Demographics
NPI:1699199844
Name:EPIC CARE LLC
Entity type:Organization
Organization Name:EPIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:AVWORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-206-2681
Mailing Address - Street 1:606 N ELDER GROVE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7790
Mailing Address - Country:US
Mailing Address - Phone:832-206-2681
Mailing Address - Fax:832-328-7458
Practice Address - Street 1:606 N ELDER GROVE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7790
Practice Address - Country:US
Practice Address - Phone:832-206-2681
Practice Address - Fax:832-328-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-08
Last Update Date:2014-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities