Provider Demographics
NPI:1467698498
Name:SECURECARE PCS, LLC
Entity Type:Organization
Organization Name:SECURECARE PCS, LLC
Other - Org Name:SECURECARE PCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-674-4547
Mailing Address - Street 1:PO BOX 40392
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77240-0392
Mailing Address - Country:US
Mailing Address - Phone:281-674-4547
Mailing Address - Fax:
Practice Address - Street 1:10811 KLEBERG PLACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-2609
Practice Address - Country:US
Practice Address - Phone:281-674-4547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care