Provider Demographics
NPI:1295035160
Name:IVIAN CARE INC
Entity Type:Organization
Organization Name:IVIAN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NDEM
Authorized Official - Middle Name:
Authorized Official - Last Name:IKPEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-898-1201
Mailing Address - Street 1:8303 SOUTHWEST FWY
Mailing Address - Street 2:STE 305
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1600
Mailing Address - Country:US
Mailing Address - Phone:281-898-1201
Mailing Address - Fax:
Practice Address - Street 1:8303 SOUTHWEST FWY
Practice Address - Street 2:STE 305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:281-898-1201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities