Provider Demographics
NPI:1922244565
Name:NAMAMAI SERVICES, LLC
Entity Type:Organization
Organization Name:NAMAMAI SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SENTEIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-763-7694
Mailing Address - Street 1:5200 E GRAND AVE
Mailing Address - Street 2:SUITE 555
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-2233
Mailing Address - Country:US
Mailing Address - Phone:214-763-7694
Mailing Address - Fax:
Practice Address - Street 1:5200 E GRAND AVE
Practice Address - Street 2:SUITE 555
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75223-2233
Practice Address - Country:US
Practice Address - Phone:214-763-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home