Provider Demographics
NPI:1336803535
Name:A-WARE OF YOUR NEEDS LLC
Entity Type:Organization
Organization Name:A-WARE OF YOUR NEEDS LLC
Other - Org Name:A-WARE OF YOUR NEEDS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:SHIELDS
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-632-2985
Mailing Address - Street 1:9739 ROSE MIST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-3066
Mailing Address - Country:US
Mailing Address - Phone:713-632-2985
Mailing Address - Fax:
Practice Address - Street 1:9739 ROSE MIST LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-3066
Practice Address - Country:US
Practice Address - Phone:713-632-2985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service