Provider Demographics
NPI:1205616851
Name:CARELANCE GROUP HOME INC
Entity type:Organization
Organization Name:CARELANCE GROUP HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADAURE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-400-2329
Mailing Address - Street 1:5600 BERKELEY KNOLL CIR APT 3319
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3339
Mailing Address - Country:US
Mailing Address - Phone:832-400-2329
Mailing Address - Fax:
Practice Address - Street 1:5600 BERKELEY KNOLL CIR APT 3319
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3339
Practice Address - Country:US
Practice Address - Phone:832-400-2329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty