Provider Demographics
NPI:1639875552
Name:5C THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:5C THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CIRILO
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:CRISTOBAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:OT
Authorized Official - Phone:318-658-1211
Mailing Address - Street 1:28706 YULEE MILL DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3875
Mailing Address - Country:US
Mailing Address - Phone:318-658-1211
Mailing Address - Fax:
Practice Address - Street 1:28706 YULEE MILL DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3875
Practice Address - Country:US
Practice Address - Phone:318-658-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center