MEDICARE: COMPLETE HOME MEDICAL SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0074897	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144222837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOME MEDICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	2942 LOGANBERRY PARK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1419
Country	:	US
Telephone Number	:	281-895-9109
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 N SAM HOUSTON PKWY E
Second Line	:	STE 402
City	:	HUMBLE
State	:	TX
Zip	:	77396-3279
Country	:	US
Telephone Number	:	281-852-0043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN ADAMS
Credential	:
Telephone Number	:	281-852-0043

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/16/2008

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Directions to “COMPLETE HOME MEDICAL SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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