NPIMap

Organization Active NPI

Integrated Management Solutions, Inc

  • Home Health Agency
  • La Grange, TX
National Provider Identifier
1871509273
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007473 Issued in TX
Legal business name
INTEGRATED MANAGEMENT SOLUTIONS, INC
Practice address
145 W Travis St Ste 104
La Grange, TX 78945-2620
Phone
(979) 702-0401
Fax
(979) 725-6977
NPI assigned
Jul 31, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Ms. Cindy Lynn Henderson, DO
Title
Office Manager
Phone
(979) 877-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007473 TX Primary

Addresses

Primary practice location

145 W Travis St Ste 104
La Grange, TX 78945-2620

Mailing address

145 W Travis St Ste 104
La Grange, TX 78945-2620
Phone (979) 702-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871509273. Details of each certification follow.

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
CorporationProprietary
Incorporated
Dec 17, 1999 in TX
Enrollment address
324 Meyer St
Sealy, TX 77474-2327

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
1St Texas Home HealthCCN 679029 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 21, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Integrated Management Solutions Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 W Travis St
Ste 104
La Grange, TX 78945
Phone (253) 780-7061

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregg Hickman Individual 5% Or Greater Direct Ownership InterestCeo Jul 1, 2020 99%
Corporate OfficerCfo Oct 25, 2015 99%
Corporate Director Mar 26, 2012
W-2 Managing EmployeeCfo Oct 25, 2015 99%
Operational/Managerial Control Dec 15, 1999
Stephen Ciulla Individual Limited Partnership Interest Jul 1, 2020 1%

Practitioners & affiliated clinicians

Affiliated clinicians 35

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1871509273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W TRAVIS ST STE 104",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452620",
            "telephone_number": "979-702-0401",
            "fax_number": "979-725-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W TRAVIS ST STE 104",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452620",
            "telephone_number": "979-702-0401",
            "fax_number": "979-725-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MANAGEMENT SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-877-0900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.