Provider Demographics
NPI:1497288757
Name:STEADFAST CARE SERVICES LLC
Entity Type:Organization
Organization Name:STEADFAST CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEBAYO
Authorized Official - Middle Name:J
Authorized Official - Last Name:AFOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-486-7212
Mailing Address - Street 1:17719 CANYON BLOOM LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4766
Mailing Address - Country:US
Mailing Address - Phone:832-486-7212
Mailing Address - Fax:832-538-0971
Practice Address - Street 1:17719 CANYON BLOOM LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4766
Practice Address - Country:US
Practice Address - Phone:832-486-7212
Practice Address - Fax:832-538-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty