Healthcare Provider Details

I. General information

NPI: 1164082665
Provider Name (Legal Business Name): PARAGON HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 ROSEBURY LN
FORNEY TX
75126-0919
US

IV. Provider business mailing address

2023 ROSEBURY LN
FORNEY TX
75126-0919
US

V. Phone/Fax

Practice location:
  • Phone: 469-740-4482
  • Fax: 972-357-7017
Mailing address:
  • Phone: 469-740-4482
  • Fax: 972-357-7017

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: CELESTINE ONONIWU
Title or Position: ADMINISTRATOR
Credential:
Phone: 469-740-4482