Provider Demographics
NPI:1023828613
Name:4ES EXCELLENCE CARES LLC
Entity type:Organization
Organization Name:4ES EXCELLENCE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMOBOLANLE
Authorized Official - Middle Name:IBIWUNMI
Authorized Official - Last Name:OLADUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-323-6424
Mailing Address - Street 1:710 COOL CUCUMBER WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2815
Mailing Address - Country:US
Mailing Address - Phone:267-323-6424
Mailing Address - Fax:
Practice Address - Street 1:710 COOL CUCUMBER WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2815
Practice Address - Country:US
Practice Address - Phone:267-323-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care