Provider Demographics
NPI:1568965622
Name:CK'S ASTONISHING CARE LLC
Entity Type:Organization
Organization Name:CK'S ASTONISHING CARE LLC
Other - Org Name:CK'S ASTONISHING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CRESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-371-1854
Mailing Address - Street 1:9938 COBBS COVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-4503
Mailing Address - Country:US
Mailing Address - Phone:832-371-1854
Mailing Address - Fax:
Practice Address - Street 1:9938 COBBS COVE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-4503
Practice Address - Country:US
Practice Address - Phone:832-371-1854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No253Z00000XAgenciesIn Home Supportive Care