Provider Demographics
NPI:1992371744
Name:OLMOS ENTERPRISES LLC
Entity Type:Organization
Organization Name:OLMOS ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:OLMOS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:281-703-9147
Mailing Address - Street 1:16640 HOLLY TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2211
Mailing Address - Country:US
Mailing Address - Phone:832-274-0866
Mailing Address - Fax:
Practice Address - Street 1:16640 HOLLY TRAIL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2211
Practice Address - Country:US
Practice Address - Phone:832-274-0866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based