Provider Demographics
NPI:1336549666
Name:CNN CARE PLEX INC
Entity Type:Organization
Organization Name:CNN CARE PLEX INC
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:UMEH-NNADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-0600
Mailing Address - Street 1:9360 CONCOURSE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8616
Mailing Address - Country:US
Mailing Address - Phone:713-988-0600
Mailing Address - Fax:713-988-0603
Practice Address - Street 1:9360 CONCOURSE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8616
Practice Address - Country:US
Practice Address - Phone:713-988-0600
Practice Address - Fax:713-988-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000Medicaid