DIRECT CARE PROVIDERS INC

Provider Demographics

• NPI: 1861730897
• Name: DIRECT CARE PROVIDERS INC
• Entity type: Organization
• Organization Name: DIRECT CARE PROVIDERS INC
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - First Name: AWODOR
• Authorized Official - Middle Name: GABRIEL
• Authorized Official - Last Name: OKO
• Authorized Official - Phone: 832-656-2539
• Mailing Address - Street 1: 7710 SUMMER GLEN LN
• Mailing Address - City: HOUSTON
• Mailing Address - State: TX
• Mailing Address - Zip Code: 77072-3132
• Mailing Address - Country: US
• Mailing Address - Phone: 832-656-2539
• Mailing Address - Fax: 281-506-8854
• Practice Address - Street 1: 7710 SUMMER GLEN LN
• Practice Address - City: HOUSTON
• Practice Address - State: TX
• Practice Address - Zip Code: 77072-3132
• Practice Address - Country: US
• Practice Address - Phone: 832-656-2539
• Practice Address - Fax: 281-506-8854
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-01-25
• Last Update Date: 2013-01-25

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	310400000X	Nursing & Custodial Care Facilities	Assisted Living Facility
No	261QR0401X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No	3104A0625X	Nursing & Custodial Care Facilities	Assisted Living Facility	Assisted Living, Mental Illness
No	3104A0630X	Nursing & Custodial Care Facilities	Assisted Living Facility	Assisted Living, Behavioral Disturbances
No	310500000X	Nursing & Custodial Care Facilities	Intermediate Care Facility, Mental Illness
No	311500000X	Nursing & Custodial Care Facilities	Alzheimer Center (Dementia Center)
No	311Z00000X	Nursing & Custodial Care Facilities	Custodial Care Facility
No	311ZA0620X	Nursing & Custodial Care Facilities	Custodial Care Facility	Adult Care Home
No	313M00000X	Nursing & Custodial Care Facilities	Nursing Facility/Intermediate Care Facility
No	314000000X	Nursing & Custodial Care Facilities	Skilled Nursing Facility
No	3140N1450X	Nursing & Custodial Care Facilities	Skilled Nursing Facility	Nursing Care, Pediatric
No	315P00000X	Nursing & Custodial Care Facilities	Intermediate Care Facility, Intellectual Disabilities
No	320800000X	Residential Treatment Facilities	Community Based Residential Treatment Facility, Mental Illness
No	320900000X	Residential Treatment Facilities	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No	343900000X	Transportation Services	Non-emergency Medical Transport (VAN)