Organization Active NPI

Allied Rehab & Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1962400358
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B334278 Issued in TX
Legal business name
ALLIED REHAB & MEDICAL SUPPLY
Practice address
6065 Hillcroft St
Suite304
Houston, TX 77081-1087
Phone
(713) 884-7584
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mr. Cornelius Ejike Ike
Title
Director
Phone
(713) 884-7584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B334278 TX Primary

Addresses

Primary practice location

6065 Hillcroft St
Suite304
Houston, TX 77081-1087

Mailing address

11045 Landswalk Dr
#109
Houston, TX 77099-3450
Phone (713) 884-7584

Other identifiers 1

IdentifierTypeStateIssuer
1676066-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

6065 Hillcroft Ave
Ste 304
Houston, TX 77081
Phone (713) 884-7584

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1962400358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 LANDSWALK DR",
            "address_2": "#109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770993450",
            "telephone_number": "713-884-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 HILLCROFT ST",
            "address_2": "SUITE304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811087",
            "telephone_number": "713-884-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED REHAB & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "EJIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-884-7584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "B334278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1676066-01",
            "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 Jan 18, 2011; 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.