Provider Demographics
NPI:1013243492
Name:NELCOR ENTERPRISES, LLC
Entity Type:Organization
Organization Name:NELCOR ENTERPRISES, LLC
Other - Org Name:ACTI-KARE RESPONSIVE IN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-858-7400
Mailing Address - Street 1:17714 GARNERCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1113
Mailing Address - Country:US
Mailing Address - Phone:281-858-7400
Mailing Address - Fax:281-858-7405
Practice Address - Street 1:17714 GARNERCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1113
Practice Address - Country:US
Practice Address - Phone:281-858-7400
Practice Address - Fax:281-858-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013039251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health