Healthcare Provider Details

I. General information

NPI: 1023290913
Provider Name (Legal Business Name): CARDINAL MEDHEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 PORTRAIT LANE SUITE 100
PLANO TX
75024-3848
US

IV. Provider business mailing address

4500 PORTRAIT LANE SUITE 100
PLANO TX
75024-3848
US

V. Phone/Fax

Practice location:
  • Phone: 972-801-2011
  • Fax: 972-801-2019
Mailing address:
  • Phone: 972-801-2011
  • Fax: 972-801-2019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011993
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number011993
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number011993
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number011993
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number011993
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number011993
License Number StateTX

VIII. Authorized Official

Name: MS. REMEDIOS T PIERCE
Title or Position: PRESIDENT
Credential: RN
Phone: 972-801-2011