Provider Demographics
NPI:1477806271
Name:KIND--N-KARE COMMUNITY OUTREACH,INC.
Entity Type:Organization
Organization Name:KIND--N-KARE COMMUNITY OUTREACH,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FLAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-631-3817
Mailing Address - Street 1:7906 CRESTVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028
Mailing Address - Country:US
Mailing Address - Phone:713-631-3817
Mailing Address - Fax:
Practice Address - Street 1:7906 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-2602
Practice Address - Country:US
Practice Address - Phone:713-631-3817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIND--N-KARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44131731302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization