Provider Demographics
NPI:1235723917
Name:SAINT ANTHONY CARE SERVICES LLC
Entity Type:Organization
Organization Name:SAINT ANTHONY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADEYINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-245-3651
Mailing Address - Street 1:12840 S KIRKWOOD RD APT 535
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3833
Mailing Address - Country:US
Mailing Address - Phone:832-245-3651
Mailing Address - Fax:800-513-3753
Practice Address - Street 1:12840 S KIRKWOOD RD APT 535
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3833
Practice Address - Country:US
Practice Address - Phone:832-245-3651
Practice Address - Fax:800-513-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty