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 --

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FAQs about St Nicholas Provider Services Inc

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.

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