Provider Demographics
NPI:1275577561
Name:CALVARY CARE GROUP INC
Entity Type:Organization
Organization Name:CALVARY CARE GROUP INC
Other - Org Name:MEDICAL EQUIPMENT SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-227-7700
Mailing Address - Street 1:5750 N SAM HOUSTON PKWY E
Mailing Address - Street 2:STE 301
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032-4090
Mailing Address - Country:US
Mailing Address - Phone:281-227-7700
Mailing Address - Fax:281-227-7771
Practice Address - Street 1:5750 N SAM HOUSTON PKWY E
Practice Address - Street 2:STE 301
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-4090
Practice Address - Country:US
Practice Address - Phone:281-227-7700
Practice Address - Fax:281-227-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5597240001Medicare NSC