Provider Demographics
NPI:1225356975
Name:KEETON HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:KEETON HEALTHCARE SERVICES INC
Other - Org Name:HEALTHCARE SERVICES OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KEETON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:713-771-0081
Mailing Address - Street 1:7324 SW FWY
Mailing Address - Street 2:SUITE 465
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2012
Mailing Address - Country:US
Mailing Address - Phone:713-771-0081
Mailing Address - Fax:713-771-1458
Practice Address - Street 1:7324 SW FWY
Practice Address - Street 2:SUITE 465
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:713-771-0081
Practice Address - Fax:713-771-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676902279H0200X
TX0090558332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6405460001Medicare NSC