Organization Active NPI

Crusade Integrated Health Services,LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1457385411
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRUSADE INTEGRATED HEALTH SERVICES,LLC
Practice address
10101 Fondren Rd Ste 327
Houston, TX 77096-5124
Phone
(713) 778-9468
Fax
(713) 778-9469
NPI assigned
Jul 10, 2006
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Ms. Consuela L Yancy-Cole
Title
Partner/President/Administrator
Phone
(713) 778-9468

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

10101 Fondren Rd Ste 327
Houston, TX 77096-5124

Mailing address

10101 Fondren Rd Ste 327
Houston, TX 77096-5124
Phone (713) 778-9468

Other identifiers 2

IdentifierTypeStateIssuer
155720902MedicaidTX
155720901MedicaidTX

National Provider Directory

National Provider Directory

Locations

10101 Fondren Rd
Ste 327
Houston, TX 77096
Phone (713) 778-9468

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1457385411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD STE 327",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965124",
            "telephone_number": "713-778-9468",
            "fax_number": "713-778-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD STE 327",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965124",
            "telephone_number": "713-778-9468",
            "fax_number": "713-778-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUSADE INTEGRATED HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "YANCY-COLE",
        "authorized_official_first_name": "CONSUELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "713-778-9468",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155720902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155720901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.