Provider Demographics
NPI:1861905945
Name:FTF CARE, INC.
Entity type:Organization
Organization Name:FTF CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-829-8061
Mailing Address - Street 1:12680 W LAKE HOUSTON PKWY STE 510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6088
Mailing Address - Country:US
Mailing Address - Phone:281-829-8061
Mailing Address - Fax:
Practice Address - Street 1:12531 BRIDLE SPRINGS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-6067
Practice Address - Country:US
Practice Address - Phone:281-829-8061
Practice Address - Fax:713-456-2539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-10
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 251B00000X, 251J00000X, 385H00000X
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care