Healthcare Provider Details

I. General information

NPI: 1710134309
Provider Name (Legal Business Name): PROMPTIME HOME HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5409 S COLLINS ST STE 131
ARLINGTON TX
76018
US

IV. Provider business mailing address

5409 S COLLINS ST STE 131
ARLINGTON TX
76018-1742
US

V. Phone/Fax

Practice location:
  • Phone: 817-300-8314
  • Fax: 817-466-2685
Mailing address:
  • Phone: 817-300-8314
  • Fax: 817-466-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL IKECHUKWU ASADU
Title or Position: ADMINISTATOR/DIRECTOR OF NURSING
Credential: REGISTERED NURSE
Phone: 817-300-8314