Healthcare Provider Details

I. General information

NPI: 1083810360
Provider Name (Legal Business Name): TOTAL LOVING CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23370 JOHNSON RD
NEW CANEY TX
77357-7560
US

IV. Provider business mailing address

23370 JOHNSON RD
NEW CANEY TX
77357-7560
US

V. Phone/Fax

Practice location:
  • Phone: 281-399-3718
  • Fax: 281-399-3065
Mailing address:
  • Phone: 281-399-3718
  • Fax: 281-399-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number119972
License Number StateTX

VIII. Authorized Official

Name: LESHEQUA GASPER BOWLES
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 832-723-0420