Provider Demographics
NPI:1609023621
Name:CARE DYNAMICS
Entity Type:Organization
Organization Name:CARE DYNAMICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMENOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-858-1562
Mailing Address - Street 1:3902 SILVER RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6326
Mailing Address - Country:US
Mailing Address - Phone:713-858-1562
Mailing Address - Fax:281-431-5612
Practice Address - Street 1:3902 SILVER RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6326
Practice Address - Country:US
Practice Address - Phone:713-858-1562
Practice Address - Fax:281-431-5612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health