Provider Demographics
NPI:1033973615
Name:ICARE ELDER SERVICES TX, LLC
Entity type:Organization
Organization Name:ICARE ELDER SERVICES TX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSIBOTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-232-0733
Mailing Address - Street 1:1400 PRESTON RD STE 402
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5186
Mailing Address - Country:US
Mailing Address - Phone:607-232-0733
Mailing Address - Fax:
Practice Address - Street 1:1400 PRESTON RD STE 402
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5186
Practice Address - Country:US
Practice Address - Phone:607-232-0733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty