Provider Demographics
NPI:1134654296
Name:CYNPATCARE LLC
Entity Type:Organization
Organization Name:CYNPATCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-897-9781
Mailing Address - Street 1:13538 SCHUMANN TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-3495
Mailing Address - Country:US
Mailing Address - Phone:713-897-9781
Mailing Address - Fax:
Practice Address - Street 1:13538 SCHUMANN TRL
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-3495
Practice Address - Country:US
Practice Address - Phone:713-897-9781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child