Provider Demographics
NPI:1932086048
Name:MEMORY CARE SUITES LLC
Entity type:Organization
Organization Name:MEMORY CARE SUITES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LANORAH
Authorized Official - Middle Name:WOODHOUSE
Authorized Official - Last Name:ALEX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-410-4846
Mailing Address - Street 1:2514 11TH ST
Mailing Address - Street 2:
Mailing Address - City:GALENA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77547-2006
Mailing Address - Country:US
Mailing Address - Phone:831-410-4846
Mailing Address - Fax:
Practice Address - Street 1:200 RED BUD LN
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-1235
Practice Address - Country:US
Practice Address - Phone:346-410-4846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility