1194895961 NPI number — POSITIVE HOME HEALTH SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194895961 NPI number — POSITIVE HOME HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
POSITIVE HOME HEALTH SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
POSITIVE HOME HEALTH AGENCY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194895961
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2600 AVE K
Provider Second Line Business Mailing Address:
SUITE 264
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75074-5306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-398-0643
Provider Business Mailing Address Fax Number:
972-398-6044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 AVE K
Provider Second Line Business Practice Location Address:
SUITE 264
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75074-5306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-398-0643
Provider Business Practice Location Address Fax Number:
972-398-6044
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANYIAM
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
ANOSIKE
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
972-398-0643

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  677915 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7003173 . This is a "AGENCY ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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