Provider Demographics
NPI:1942658356
Name:CARENURSE INTERNATIONAL LLC
Entity Type:Organization
Organization Name:CARENURSE INTERNATIONAL LLC
Other - Org Name:OURCARENURSE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NSOMEKELA
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGING DIRECTOR
Authorized Official - Phone:214-861-5238
Mailing Address - Street 1:7740 MCCALLUM BLVD
Mailing Address - Street 2:ROOM 123
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-8143
Mailing Address - Country:US
Mailing Address - Phone:214-861-5238
Mailing Address - Fax:
Practice Address - Street 1:7740 MCCALLUM BLVD
Practice Address - Street 2:ROOM 123
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-8143
Practice Address - Country:US
Practice Address - Phone:214-861-5238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802192461251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health