Provider Demographics
NPI:1952173296
Name:NAHMAMONS HEALTHCARE CARITAS SERVICES,LLC
Entity Type:Organization
Organization Name:NAHMAMONS HEALTHCARE CARITAS SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNEESTELLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-636-7554
Mailing Address - Street 1:105 WENHAM WAY
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3491
Mailing Address - Country:US
Mailing Address - Phone:240-636-7554
Mailing Address - Fax:
Practice Address - Street 1:105 WENHAM WAY
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3491
Practice Address - Country:US
Practice Address - Phone:240-636-7554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health