Provider Demographics
NPI:1871927137
Name:FIRST GRADE CARE LLC
Entity type:Organization
Organization Name:FIRST GRADE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKAETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKPOUKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-238-6162
Mailing Address - Street 1:7911 SARAGOSA BLUE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3475
Mailing Address - Country:US
Mailing Address - Phone:281-238-6162
Mailing Address - Fax:
Practice Address - Street 1:7911 SARAGOSA BLUE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3475
Practice Address - Country:US
Practice Address - Phone:281-238-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016150253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care