Provider Demographics
NPI:1639688146
Name:FASHCARES HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:FASHCARES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ALT-ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOYOSORE
Authorized Official - Middle Name:
Authorized Official - Last Name:FASHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-428-4011
Mailing Address - Street 1:12500 BROOKGLADE CIR UNIT 173
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5303
Mailing Address - Country:US
Mailing Address - Phone:832-428-4011
Mailing Address - Fax:
Practice Address - Street 1:12500 BROOKGLADE CIR UNIT 173
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5303
Practice Address - Country:US
Practice Address - Phone:832-428-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty