Modification Concepts LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MODIFICATION CONCEPTS LLC

Doing business as

Home Living Modifications of Texas

Practice address

3105 Forest Shores LN
Highland Village, TX 75077-6487

Phone

(800) 715-2563

Fax

(888) 564-5237

NPI assigned

Aug 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Charles Clute

Title

Ceo

Phone

(516) 707-9911

Specialties & licenses 1

Addresses

Other names 1

• Home Living Modifications of Texas Doing business as

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377388800000",
    "number": "1366876567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 FOREST SHORES LN",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 FOREST SHORES LN",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776487",
            "telephone_number": "800-715-2563",
            "fax_number": "888-564-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIFICATION CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A",
        "authorized_official_last_name": "CLUTE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-707-9911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Living Modifications of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Marie McLeod, LPC
• Beverly Ann McNulty
• Khairunissa H Meghani, FNP
• Jacob William Mims, PHARM.D.
• Jennifer Mitchell
• Zafreen Lalani Momin, D.O.
• Alaa Morsi, AMM
• Judith Eleanor Moussavian, PT, DPT
• Murtaugh Wellness Group (Elite Body Chiropractic)
• Catherine Murtaugh, DC

• Customized Equipment (DME) in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.