Provider Demographics
NPI:1790871788
Name:MEDICAL INSIGHTS & CARE UNLIMITED, L.P.
Entity Type:Organization
Organization Name:MEDICAL INSIGHTS & CARE UNLIMITED, L.P.
Other - Org Name:MEDICAL INSIGHTS & CARE UNLIMITED, L.P.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS
Authorized Official - Phone:713-774-6428
Mailing Address - Street 1:P.O. BOX 721350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-1350
Mailing Address - Country:US
Mailing Address - Phone:713-774-6428
Mailing Address - Fax:713-774-3822
Practice Address - Street 1:4610 BELLE PARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072
Practice Address - Country:US
Practice Address - Phone:713-774-6428
Practice Address - Fax:713-774-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0245375-01Medicaid
TX0245375-01Medicaid