Provider Demographics
NPI:1609224120
Name:CF HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CF HEALTH SERVICES LLC
Other - Org Name:CF MEDICAL SUPPLIES & PHARMACY RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINNUSOTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-617-5502
Mailing Address - Street 1:4203 GARDENDALE ST
Mailing Address - Street 2:STE 223C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3174
Mailing Address - Country:US
Mailing Address - Phone:210-617-5507
Mailing Address - Fax:
Practice Address - Street 1:4203 GARDENDALE ST STE 223C
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3177
Practice Address - Country:US
Practice Address - Phone:210-617-5507
Practice Address - Fax:210-617-4575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BN1400X, 332BP3500X, 333600000X, 3336M0003X
TX308423336L0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2162286OtherPK