Integrated Management Solutions, Inc
Organization Active NPI Home Health Agency · Weimar, TX
NPI 1811903214 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1811903214
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 007473 (TX)
- Legal business name
- INTEGRATED MANAGEMENT SOLUTIONS, INC
- Practice address
- 121 E Main St
Weimar, TX 78962-2008 - Phone
- (979) 725-6647
- Fax
- (979) 725-6977
- NPI assigned
- Jul 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- INTEGRATED MANAGEMENT SOLUTIONS, INC
Authorized official
- Name
- Cindy Lynn Henderson
- Title
- Office Manager
- Phone
- (979) 877-0900
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Affiliated clinicians 35
-
Abigayle Taylor Adamson, PA-C
-
Thomas O Borgstedte, D.O.
-
Don R Bosse, M.D.
-
Rosemary Buckle, M.D.
-
Ramon Omar Cantu, D.O.
-
Carl G W Dahlberg, M.D.
-
Isidro G De Leon, DO
-
Jorge A Duchicela, M.D.
-
Olga I Duchicela, M.D.
-
Amy Leigh Frey, MSN, APRN, FNP
-
William Hartman Harvin, M.D.
-
Gina Louise Heck, APRN
-
Bart Klaus, M.D.
-
Kannappan Krishnaswamy, M.D.
-
Amye Suzette Lilljedahl, PA-C
-
Mukesh N. Mehta, M.D.
-
Leah Rey Mikesky, MD
-
Troy A Millican, M.D.
-
David R. Neisner, M.D.
-
Bandana Nepal, FNP
Medicare Care Compare: Home health agency
- Listed as
- 1St Texas Home Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Mar 21, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 679029
- Legal name
- INTEGRATED MANAGEMENT SOLUTIONS, INC
- Doing business as
- FIRST TEXAS HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 21, 2001
- Last certification
- Dec 2, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 17, 1999 in TX
- Enrollment address
- 324 Meyer St
Sealy, TX 77474-2327
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Gregg Hickman |
5% Or Greater Direct Ownership Interest |
Jul 1, 2020 | 99% |
| Corporate Officer |
Oct 25, 2015 | 99% | |
| Corporate Director | Mar 26, 2012 | ||
| W-2 Managing Employee |
Oct 25, 2015 | 99% | |
| Operational/Managerial Control | Dec 15, 1999 | ||
| Stephen Ciulla |
Limited Partnership Interest | Jul 1, 2020 | 1% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120329000238 | TX | Part a Provider - Home Health Agency | 3678559192 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: La Grange, TX; Sealy, TX; Weimar, TX |
National Provider Directory
- Tax ID family
- Integrated Management Solutions Inc
- Part of
- Integrated Management Solutions Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007473 | TX | Yes |
Addresses
Primary practice location
121 E Main St
Weimar, TX 78962-2008
Mailing address
121 E Main St
Weimar, TX 78962-2008
Phone (979) 725-6647
Other names
- 1st Texas Home Health
Other providers in Weimar, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.