Provider Demographics
NPI:1699572735
Name:MIDAG CARE LLC
Entity type:Organization
Organization Name:MIDAG CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-310-5989
Mailing Address - Street 1:18603 GREENWOOD MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4605
Mailing Address - Country:US
Mailing Address - Phone:832-310-5989
Mailing Address - Fax:281-781-9159
Practice Address - Street 1:18603 GREENWOOD MEADOW TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4605
Practice Address - Country:US
Practice Address - Phone:832-310-5989
Practice Address - Fax:281-781-9159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty