MEDICARE: NAMAMAI SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	311ZA0620X	Adult Care Home Facility
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922244565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAMAMAI SERVICES, LLC

Provider Business Mailing Address
First Line	:	5200 E GRAND AVE
Second Line	:	SUITE 555
City	:	DALLAS
State	:	TX
Zip	:	75223-2233
Country	:	US
Telephone Number	:	214-763-7694
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 E GRAND AVE
Second Line	:	SUITE 555
City	:	DALLAS
State	:	TX
Zip	:	75223-2233
Country	:	US
Telephone Number	:	214-763-7694
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	CHARLES SENTEIO
Credential	:
Telephone Number	:	214-763-7694

Provider Enumeration Date	:	01/04/2009
Last Update Date	:	01/04/2009

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Directions to “NAMAMAI SERVICES, LLC ” Practice Location

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