Provider Demographics
NPI:1013798263
Name:IN HIS CARE MINISTRIES
Entity Type:Organization
Organization Name:IN HIS CARE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY-SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:RSPS,MHPS,PSS
Authorized Official - Phone:937-709-3635
Mailing Address - Street 1:5144 E SAM HOUSTON PKWY N STE 115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3225
Mailing Address - Country:US
Mailing Address - Phone:937-709-3635
Mailing Address - Fax:
Practice Address - Street 1:5144 E SAM HOUSTON PKWY N STE 115
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3225
Practice Address - Country:US
Practice Address - Phone:937-709-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty