Provider Demographics
NPI:1568978419
Name:AMADA SENIOR CARE OF KATY, LLC
Entity Type:Organization
Organization Name:AMADA SENIOR CARE OF KATY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DENOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-403-3217
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 325B
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6227
Mailing Address - Country:US
Mailing Address - Phone:832-403-3217
Mailing Address - Fax:281-888-8281
Practice Address - Street 1:12808 W AIRPORT BLVD STE 325B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6227
Practice Address - Country:US
Practice Address - Phone:832-403-3217
Practice Address - Fax:281-888-8281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care