Healthcare Provider Details

I. General information

NPI: 1972476059
Provider Name (Legal Business Name): ENTRAMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 CITADEL DR E STE 447
COLORADO SPRINGS CO
80909-5314
US

IV. Provider business mailing address

27905 COMMERCIAL PARK RD STE 240
TOMBALL TX
77375-6580
US

V. Phone/Fax

Practice location:
  • Phone: 303-848-6369
  • Fax: 303-848-6329
Mailing address:
  • Phone: 713-955-2123
  • Fax: 281-742-2589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JEREMY CRABB
Title or Position: CO-CEO
Credential:
Phone: 713-955-2123