Provider Demographics
NPI:1255667291
Name:SECURITY MANAGEMENT AND INTEGRATION COMPANY, INC.
Entity Type:Organization
Organization Name:SECURITY MANAGEMENT AND INTEGRATION COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:CISO, CISM
Authorized Official - Phone:859-372-6618
Mailing Address - Street 1:1423 EAST 29TH ST
Mailing Address - Street 2:SUITE 317
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404
Mailing Address - Country:US
Mailing Address - Phone:859-372-6618
Mailing Address - Fax:888-575-7414
Practice Address - Street 1:1423 E 29TH ST
Practice Address - Street 2:SUITE 317
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4008
Practice Address - Country:US
Practice Address - Phone:859-372-6618
Practice Address - Fax:888-575-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care