Active NPI
Entramed, Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Tomball, TX
National Provider Identifier
1194859629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 0051466
- Legal business name
- ENTRAMED, INC
- Practice address
- 27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580 - Phone
- (713) 955-2123
- Fax
- (281) 742-2589
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeremy W Crabb
- Title
- Co-Ceo
- Phone
- (817) 600-6233
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0051466 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0051466 | TX | Primary |
Addresses
Primary practice location
27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580
Mailing address
27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580
Phone (713) 955-2123
Other practice location 1
2821 S Parker Rd Ste 405
Aurora, CO 80014-2748
Phone (719) 368-2293
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194859629 | Medicaid | MT | |
| 1194859629 | Medicaid | CO | |
| 1653815 | Medicaid | AK | |
| 10026750400 | Medicaid | NE | |
| 28430310 | Medicaid | NM | |
| 145697201 | Medicaid | TX | |
| 145698001 | Medicaid | TX | |
| 2106483 | Medicaid | WA |
Other names 1
- Sentido Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079077 | TX | DME Supplier - Medical Supply Company | 0749392157 | Practice locations: Tomball, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Colorado Springs, CO
- NPI 1619522943
0749392157
National Provider Directory
National Provider Directory- Tax ID family
- Entramed Inc
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Tomball, TX
- NPI 1164089496
-
- Home Health Agency
- Fort Worth, TX
- NPI 1619649159
-
- Registered Dietitian
- Tomball, TX
- NPI 1629713607
-
- Durable Medical Equipment & Medical Supplies
- Anchorage, AK
- NPI 1013707348
-
- Durable Medical Equipment & Medical Supplies
- Durham, NC
- NPI 1093505323
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Colorado Springs, CO
- NPI 1619522943
-
- Durable Medical Equipment & Medical Supplies
- Baton Rouge, LA
- NPI 1013643543
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1972476059
Locations
2821 S Parker Rd
Ste 405
Aurora, CO 80014
Phone (719) 368-2293
412 N 4th St
Ste 331A
Baton Rouge, LA 70802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1194859629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27905 COMMERCIAL PARK RD STE 240",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773756580",
"telephone_number": "713-955-2123",
"fax_number": "281-742-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27905 COMMERCIAL PARK RD STE 240",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773756580",
"telephone_number": "713-955-2123",
"fax_number": "281-742-2589"
}
],
"practiceLocations": [
{
"address_1": "2821 S Parker Rd Ste 405",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142748",
"country_code": "US",
"telephone_number": "719-368-2293",
"fax_number": "303-997-2160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENTRAMED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "CRABB",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CO-CEO",
"authorized_official_telephone_number": "817-600-6233",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0051466",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0051466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194859629",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194859629",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1653815",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026750400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28430310",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145697201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145698001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106483",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sentido Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sentido Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.