Provider Demographics
NPI:1477925741
Name:NEXXUS CAREGIVERS, LLC
Entity Type:Organization
Organization Name:NEXXUS CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEBLAKI
Authorized Official - Middle Name:A
Authorized Official - Last Name:PITANG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:832-994-3037
Mailing Address - Street 1:7676 HILLMONT ST STE 128D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6400
Mailing Address - Country:US
Mailing Address - Phone:832-703-1314
Mailing Address - Fax:281-607-0300
Practice Address - Street 1:7676 HILLMONT ST STE 128D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6400
Practice Address - Country:US
Practice Address - Phone:832-703-1314
Practice Address - Fax:281-607-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child