LTC MANAGEMENT SUCS NPI 1417902578

NPI Information

  • NPI: 1417902578
  • Provider Name: LTC MANAGEMENT SUCS
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 14800 ST. MARY'S LANE STE 175
    HOUSTON, TX
    ZIP 77079
  • Phone: (832) 448-3705

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NPI Details

LTC MANAGEMENT SUCS is a parenteral and enteral nutrition durable medical equipment medical supplies in Houston, TX. LTC MANAGEMENT SUCS NPI is 1417902578. The provider is registered as an organization entity type.

The provider's business location address is:

14800 ST. MARY'S LANE STE 175
HOUSTON, TX
ZIP 77079
Phone: (832) 448-3705

The provider's authorized official is Jake Hallsted .
The authorized official title is President and has the following contact phone number (832) 448-3705.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition332BP3500XTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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