Provider Demographics
NPI:1629800883
Name:CORPUS CHRISTI CAREGIVING COMPANY LLC
Entity type:Organization
Organization Name:CORPUS CHRISTI CAREGIVING COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-320-7320
Mailing Address - Street 1:930 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-1544
Mailing Address - Country:US
Mailing Address - Phone:254-522-7326
Mailing Address - Fax:
Practice Address - Street 1:5151 FLYNN PKWY STE 514
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4384
Practice Address - Country:US
Practice Address - Phone:361-400-2173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CAREGIVING COMPANY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-16
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care