Healthcare Provider Details

I. General information

NPI: 1538331194
Provider Name (Legal Business Name): RKM SOLID KIMISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13820 EAGLE PASS ST
HOUSTON TX
77015-3916
US

IV. Provider business mailing address

5731 RICHFIELD PARK CT
ROSHARON TX
77583-2035
US

V. Phone/Fax

Practice location:
  • Phone: 832-489-4552
  • Fax:
Mailing address:
  • Phone: 832-489-4552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY M COLEMAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 832-489-4552