Provider Demographics
NPI:1720007214
Name:NEOTERRA ENTERPRISES, L.L.C.
Entity Type:Organization
Organization Name:NEOTERRA ENTERPRISES, L.L.C.
Other - Org Name:UNITY HOMECARE EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PANTARATH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPASUMPANNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-944-0500
Mailing Address - Street 1:8866 GULF FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6514
Mailing Address - Country:US
Mailing Address - Phone:713-944-0500
Mailing Address - Fax:713-944-0600
Practice Address - Street 1:8866 GULF FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6514
Practice Address - Country:US
Practice Address - Phone:713-944-0500
Practice Address - Fax:713-944-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0075647332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5075130001Medicare NSC