Healthcare Provider Details

I. General information

NPI: 1568106292
Provider Name (Legal Business Name): ACARE PROVIDER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24624 INTERSTATE 45 N STE 200
SPRING TX
77386-4084
US

IV. Provider business mailing address

24624 INTERSTATE 45 N STE 200
SPRING TX
77386-4084
US

V. Phone/Fax

Practice location:
  • Phone: 888-528-7670
  • Fax: 321-248-2891
Mailing address:
  • Phone: 888-528-7670
  • Fax: 321-248-2891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ASHLEE LAFAVOR
Title or Position: CEO
Credential:
Phone: 888-528-7670