Provider Demographics
NPI:1629004189
Name:KINGHAVEN INVESTMENTS INC.
Entity Type:Organization
Organization Name:KINGHAVEN INVESTMENTS INC.
Other - Org Name:HITECH MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-457-4373
Mailing Address - Street 1:PO BOX 740038
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0038
Mailing Address - Country:US
Mailing Address - Phone:713-457-4373
Mailing Address - Fax:713-457-4376
Practice Address - Street 1:6335 GULFTON ST STE 101
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1112
Practice Address - Country:US
Practice Address - Phone:713-457-4373
Practice Address - Fax:713-457-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008198251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008198OtherTEXAS DADS LICENSE
TX158284302Medicaid
6000429OtherEVERCARE PROVIDER NUMBER
TX008198OtherTEXAS DADS LICENSE