St Nicholas Provider Services Inc in Arlington - Home Health
St Nicholas Provider Services Inc - NPI 1013934751
St Nicholas Provider Services Inc is a Home Health in Arlington, Texas. St Nicholas Provider Services Inc practices all healthcare services and medical treatments related to Home Health. The NPI Number for St Nicholas Provider Services Inc is 1013934751. The last update date is 2010-07-19.
St Nicholas Provider Services Inc's current location address is 7008 Lake Jackson Dr, Arlington, Texas. You can contact this provider via phone number 8174689006 and fax number 8174689006. The mailing address for St Nicholas Provider Services Inc is 7008 Lake Jackson Dr, Arlington, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St Nicholas Provider Services Inc |
---|---|
Address | 7008 Lake Jackson Dr, Arlington, Texas |
Phone Number | 8174689006 |
Fax Number | 8174689006 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
---|---|
Authorized Official Name | Fasakin M Olufesola |
Credentials | RN |
Telephone Number | 8174689006 |
NPI Number Detail
NPI Number | 1013934751 |
---|---|
Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2010-07-19 |
Provider Mailing Address Detail
Address | 7008 Lake Jackson Dr |
---|---|
City | Arlington |
State | Texas (TX) |
Post Code | 760024054 |
Phone Number | 8174689006 |
Fax Number | 8174689006 |
Provider's Primary Taxonomy Detail
Speciality | Home Health |
---|---|
Taxonomy | 251E00000X |
Licence No | 10407 |
Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10407 | TX | STATE HOME HEALTH LICENSE | |
205352201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St Nicholas Provider Services Inc by the Centers for Medicare & Medicaid Services?
The St Nicholas Provider Services Inc has been issued the NPI (National Provider Identifier) 1013934751 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of St Nicholas Provider Services Inc?
The St Nicholas Provider Services Inc is physically situated at 7008 Lake Jackson Dr, in the city of Arlington, state of TX, with the postal code 760024054.
What is St Nicholas Provider Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for St Nicholas Provider Services Inc is Home Health, and the taxonomy classification code that categorizes this area of expertise is 251E00000X.
On what date did the St Nicholas Provider Services Inc receive its 1013934751 assignment from the Centers for Medicare & Medicaid Services?
The St Nicholas Provider Services Inc was assigned its 1013934751 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information regarding St Nicholas Provider Services Inc most recently updated?
The details pertaining to the St Nicholas Provider Services Inc, including its address, specialty, and other relevant information, were last refreshed on 2010-07-19.
NPI Number: 1871596916
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1912900044
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1073517967
Address: 17815 Ventura Blvd, Encino, CA
NPI Number: 1225032253
Address: 3939 Medical Dr Ste 110, San Antonio, TX
NPI Number: 1568466506
Address: 3939 Medical Dr, San Antonio, TX