Provider Demographics
NPI:1770774796
Name:TEXAS PREMIER CARE SERVICES, INC.
Entity type:Organization
Organization Name:TEXAS PREMIER CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:NZEADIBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-463-1166
Mailing Address - Street 1:14525 FM 529 RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3595
Mailing Address - Country:US
Mailing Address - Phone:281-463-1166
Mailing Address - Fax:
Practice Address - Street 1:14525 FM 529 RD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3596
Practice Address - Country:US
Practice Address - Phone:281-463-1166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673245251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1973893Medicaid
TX743170Medicare PIN