Provider Demographics
NPI:1790192060
Name:CARELAND, INC
Entity Type:Organization
Organization Name:CARELAND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EGHOSA
Authorized Official - Middle Name:OLAYINKA
Authorized Official - Last Name:AIDEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-494-0207
Mailing Address - Street 1:11211 KATY FWY STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2136
Mailing Address - Country:US
Mailing Address - Phone:713-684-8201
Mailing Address - Fax:346-406-3802
Practice Address - Street 1:11211 KATY FWY STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2136
Practice Address - Country:US
Practice Address - Phone:713-684-8201
Practice Address - Fax:346-406-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty