OrganizationActive
Ltc Management Services LLC
NPI 1336185289 · Parenteral & Enteral Nutrition Supplies (DME) · Houston, TX
Provider details
- NPI number
- 1336185289
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jake Hallsted, President(832) 448-3700
- License
- 0083336 (TX)
Specialties & taxonomies
Suppliers
Practice location
14800 Saint Marys Ln
Suite 175
Houston, TX 77079-2935
Phone: (832) 448-3705
Fax: (832) 448-3706
Approximate (ZIP-level) locationGet directions
Mailing address
14800 Saint Marys Ln
Houston, TX 77079-2935
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.