Healthcare Provider Details

I. General information

NPI: 1184357956
Provider Name (Legal Business Name): CARE NEXT DOOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13414 MEDICAL COMPLEX DR STE 8
TOMBALL TX
77375-3333
US

IV. Provider business mailing address

31631 JOHLKE RD
MAGNOLIA TX
77355-8863
US

V. Phone/Fax

Practice location:
  • Phone: 916-521-8665
  • Fax: 832-442-9194
Mailing address:
  • Phone: 916-521-8665
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AGNETA VAN NIEKERK
Title or Position: CHIEF CARE COORDINATOR
Credential: RN
Phone: 713-429-0211