Provider Demographics
NPI:1124519541
Name:FALCON CORP LLC
Entity type:Organization
Organization Name:FALCON CORP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:MARTINEZ DE MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-416-5040
Mailing Address - Street 1:25722 KINGSLAND BLVD STE 113F
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6705
Mailing Address - Country:US
Mailing Address - Phone:832-678-4924
Mailing Address - Fax:
Practice Address - Street 1:25722 KINGSLAND BLVD STE 115
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3701
Practice Address - Country:US
Practice Address - Phone:832-678-4924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care