Provider Demographics
NPI:1891998472
Name:CAREFUL CARE SERVICES LLC
Entity Type:Organization
Organization Name:CAREFUL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FABIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OJUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-395-9775
Mailing Address - Street 1:4237 LAVACA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3554
Mailing Address - Country:US
Mailing Address - Phone:214-395-9775
Mailing Address - Fax:972-422-8626
Practice Address - Street 1:4237 LAVACA DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3554
Practice Address - Country:US
Practice Address - Phone:214-395-9775
Practice Address - Fax:972-422-8626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-09
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011465251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7026Medicare PIN