Provider Demographics
NPI:1861857914
Name:TOTAL PROVIDER CARE SERVICE EXPERT LLC
Entity Type:Organization
Organization Name:TOTAL PROVIDER CARE SERVICE EXPERT LLC
Other - Org Name:TOTAL CARE PROVIDER SERVICE EXPERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEMWENGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-909-8132
Mailing Address - Street 1:8822 CHACO HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8822 CHACO HILL LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5021
Practice Address - Country:US
Practice Address - Phone:832-909-8132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care