Provider Demographics
NPI:1164436549
Name:INTEGRATED MANAGEMENT SOLUTIONS, INC
Entity Type:Organization
Organization Name:INTEGRATED MANAGEMENT SOLUTIONS, INC
Other - Org Name:1ST TEXAS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-877-0900
Mailing Address - Street 1:324 MEYER ST
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-2327
Mailing Address - Country:US
Mailing Address - Phone:979-877-0900
Mailing Address - Fax:979-885-4080
Practice Address - Street 1:324 MEYER ST
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-2327
Practice Address - Country:US
Practice Address - Phone:979-877-0900
Practice Address - Fax:979-885-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX025219903Medicaid
TX679029Medicare ID - Type UnspecifiedMEDICARE NUMBER