Provider Demographics
NPI:1629818729
Name:PHIL-CARE LLC
Entity type:Organization
Organization Name:PHIL-CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTINIANO
Authorized Official - Middle Name:DIZA
Authorized Official - Last Name:DOMINGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-455-7351
Mailing Address - Street 1:2208 HALBERT DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3828
Mailing Address - Country:US
Mailing Address - Phone:832-455-7351
Mailing Address - Fax:281-809-3133
Practice Address - Street 1:1880 S DAIRY ASHFORD RD STE 540
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4851
Practice Address - Country:US
Practice Address - Phone:346-481-3261
Practice Address - Fax:281-809-3133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care