Provider Demographics
NPI:1821558578
Name:KEEP SUCCESSFUL VISIONS UNLIMITED INC.
Entity Type:Organization
Organization Name:KEEP SUCCESSFUL VISIONS UNLIMITED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-366-2874
Mailing Address - Street 1:10101 FONDREN RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5135
Mailing Address - Country:US
Mailing Address - Phone:713-429-0142
Mailing Address - Fax:
Practice Address - Street 1:5127 COSBY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-3618
Practice Address - Country:US
Practice Address - Phone:713-366-2874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health