MEDICARE: COMCARE SUPPORT CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency
4	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1801279302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMCARE SUPPORT CENTER LLC

Provider Business Mailing Address
First Line	:	2019 RIVERINE CREST CIR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-6751
Country	:	US
Telephone Number	:
Fax Number	:	999-398-4959

Provider Business Practice Location Address
First Line	:	11777 KATY FWY STE 230S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1773
Country	:	US
Telephone Number	:	713-429-5114
Fax Number	:	999-398-4959

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	R OLOPADE
Credential	:
Telephone Number	:	713-429-5114

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	02/27/2025

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Directions to “COMCARE SUPPORT CENTER LLC ” Practice Location

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