LTC Management Services LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0083336 Issued in TX

Legal business name

LTC MANAGEMENT SERVICES LLC

Practice address

14800 Saint Marys LN
Suite 175
Houston, TX 77079-2935

Phone

(832) 448-3705

Fax

(832) 448-3706

NPI assigned

Jun 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jake Hallsted

Title

President

Phone

(832) 448-3700

Specialties & licenses 1

Addresses

Tax ID family

LTC Management Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LTC Management Sucs

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Houston, TX
  • NPI 1417902578
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336185289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 SAINT MARYS LN",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792935",
            "telephone_number": "832-448-3705",
            "fax_number": "832-448-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 SAINT MARYS LN",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792935",
            "telephone_number": "832-448-3705",
            "fax_number": "832-448-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLSTED",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-448-3700"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0083336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LSPH, PLLC
• LT Medical Transport, LLC
• LT Transportation Company
• Lta Wellness PLLC
• LTC Investment Holdings, LLC
• LTC Management Sucs
• LTC Transportation, LLC
• LTHM Houston - Operations LLC
• LTS DME
• Alisa Lu

• Parenteral & Enteral Nutrition Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.