Provider Demographics
NPI:1255781860
Name:THE CHEST VEST COMPANY LLC
Entity type:Organization
Organization Name:THE CHEST VEST COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-984-0165
Mailing Address - Street 1:6301 MANCHACA RD STE M
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4948
Mailing Address - Country:US
Mailing Address - Phone:512-967-3465
Mailing Address - Fax:512-870-9784
Practice Address - Street 1:6301 MANCHACA RD STE M
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4948
Practice Address - Country:US
Practice Address - Phone:512-967-3465
Practice Address - Fax:512-870-9784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7566300001Medicaid