MEDICARE: INTEGRATED MANAGEMENT SOLUTIONS, INC

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	251E00000X	Home Health Agency	007472	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH131H	OTHER	TX	BLUECROSSBLUE SHIELD

General Provider Information

NPI Number	:	1073527776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MANAGEMENT SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	4004 CALL FIELD RD
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2676
Country	:	US
Telephone Number	:	940-763-9500
Fax Number	:	940-763-9501

Provider Business Practice Location Address
First Line	:	4004 CALL FIELD RD
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2676
Country	:	US
Telephone Number	:	940-763-9500
Fax Number	:	940-763-9501

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DENA PEARSON
Credential	:	RN,BSN
Telephone Number	:	903-564-9111

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	11/24/2025

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