Provider Demographics
NPI:1639790017
Name:ACADIA CARE INC
Entity Type:Organization
Organization Name:ACADIA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-929-6722
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 293
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6244
Mailing Address - Country:US
Mailing Address - Phone:214-929-6722
Mailing Address - Fax:713-715-1471
Practice Address - Street 1:12808 W AIRPORT BLVD STE 293
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6244
Practice Address - Country:US
Practice Address - Phone:214-929-6722
Practice Address - Fax:713-715-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care