Provider Demographics
NPI:1184357956
Name:CARE NEXT DOOR SERVICES LLC
Entity type:Organization
Organization Name:CARE NEXT DOOR SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGNETA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN NIEKERK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-257-7379
Mailing Address - Street 1:31631 JOHLKE RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-8863
Mailing Address - Country:US
Mailing Address - Phone:916-521-8665
Mailing Address - Fax:
Practice Address - Street 1:31631 JOHLKE RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-8863
Practice Address - Country:US
Practice Address - Phone:916-521-8665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care