Healthcare Provider Details

I. General information

NPI: 1386501005
Provider Name (Legal Business Name): AFESA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22210 OCEANIC DR
KATY TX
77449-0309
US

IV. Provider business mailing address

22210 OCEANIC DR
KATY TX
77449-0309
US

V. Phone/Fax

Practice location:
  • Phone: 909-685-7283
  • Fax:
Mailing address:
  • Phone: 909-685-7283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: AFOLAKE A OYINLOLA
Title or Position: OWNER
Credential:
Phone: 909-685-7283