Provider Demographics
NPI:1144222837
Name:COMPLETE HOME MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:COMPLETE HOME MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-852-0043
Mailing Address - Street 1:2942 LOGANBERRY PARK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1419
Mailing Address - Country:US
Mailing Address - Phone:281-895-9109
Mailing Address - Fax:
Practice Address - Street 1:5950 N SAM HOUSTON PKWY E
Practice Address - Street 2:STE 402
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3279
Practice Address - Country:US
Practice Address - Phone:281-852-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0074897332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168368201Medicaid
TX168368202Medicaid
TX5114010001Medicare ID - Type Unspecified