Provider Demographics
NPI:1902074446
Name:JUST REAL KARE, INC
Entity Type:Organization
Organization Name:JUST REAL KARE, INC
Other - Org Name:JUST REAL KARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-266-2604
Mailing Address - Street 1:9900 WESTPARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5286
Mailing Address - Country:US
Mailing Address - Phone:713-266-2604
Mailing Address - Fax:713-266-2611
Practice Address - Street 1:9900 WESTPARK DR STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5286
Practice Address - Country:US
Practice Address - Phone:713-266-2604
Practice Address - Fax:713-266-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172V00000X
251C00000X
TX012008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012008Medicaid