Provider Demographics
NPI:1770106049
Name:NESCARE LLC
Entity type:Organization
Organization Name:NESCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NESLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEW-SOPOREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-406-6461
Mailing Address - Street 1:14115 ASH MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2507
Mailing Address - Country:US
Mailing Address - Phone:936-577-7766
Mailing Address - Fax:
Practice Address - Street 1:4721 NE 66TH AVE APT 30
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-2462
Practice Address - Country:US
Practice Address - Phone:857-406-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No385H00000XRespite Care FacilityRespite Care