Organization Active NPI

Houston Life Ventures, LLC

  • Home Infusion Therapy Pharmacy
  • Stafford, TX
National Provider Identifier
1659873214
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
31959 Issued in TX
Legal business name
HOUSTON LIFE VENTURES, LLC
Practice address
12865 Capricorn St
Stafford, TX 77477
Phone
(281) 201-2805
Fax
(281) 201-2826
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Terence Houston, PHARMDNPI 1215162912
Title
Pharmacist
Phone
(281) 201-2805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 31959 TX
Home Infusion Therapy Pharmacy 3336H0001X 31959 TX Primary

Addresses

Primary practice location

12865 Capricorn St
Stafford, TX 77477

Mailing address

12865 Capricorn St
Stafford, TX 77477-3915
Phone (281) 201-2805

Other identifiers 1

IdentifierTypeStateIssuer
31959OtherTXTEXAS BOARD OF PHARMACY

Other names 1

  • Alpha Omega Infusion Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190702001308 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5294069878 Practice locations: Stafford, TX
O20220714000897 TX Part B Supplier - Pharmacy 5294069878 Practice locations: Stafford, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alpha Omega Infusion Services12865 Capricorn St, Stafford, TX 77477-3915(281) 201-2805 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jul 2, 2019

National Provider Directory

National Provider Directory

Locations

12865 Capricorn St
Stafford, TX 77477
Phone (281) 201-2805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1659873214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 CAPRICORN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773915",
            "telephone_number": "281-201-2805",
            "fax_number": "281-201-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 CAPRICORN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-201-2805",
            "fax_number": "281-201-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON LIFE VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "281-201-2805",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "31959",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TX",
            "license": "31959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "31959",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Omega Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.