Provider Demographics
NPI:1295899821
Name:ALLCARE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ALLCARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EJIM
Authorized Official - Middle Name:N
Authorized Official - Last Name:SULE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-957-9990
Mailing Address - Street 1:PO BOX 40041
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77240-0041
Mailing Address - Country:US
Mailing Address - Phone:713-957-9990
Mailing Address - Fax:713-957-9991
Practice Address - Street 1:10600 NW FREEWAY
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8285
Practice Address - Country:US
Practice Address - Phone:713-957-9990
Practice Address - Fax:713-957-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007466251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX007466OtherLICENSE NUMBER
TXKO4593243Medicaid
TX007466OtherLICENSE NUMBER