Organization Active NPI

Spero Medical Supply, a Series of Spero Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Katy, TX
National Provider Identifier
1619329323
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001463 Issued in TX
Legal business name
SPERO MEDICAL SUPPLY, A SERIES OF SPERO REHABILITATION, LLC
Practice address
23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705
Phone
(281) 395-9090
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Kathryn Bouchillon
Title
Owner
Phone
(281) 395-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1001463 TX Primary

Addresses

Primary practice location

23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705

Mailing address

23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705
Phone (281) 395-9090

Other names 1

  • Spero Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1619329323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943705",
            "telephone_number": "281-395-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943705",
            "telephone_number": "281-395-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO MEDICAL SUPPLY, A SERIES OF SPERO REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "BOUCHILLON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-395-9090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spero Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.