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NPI Code Detail

MEDICARE: POSITIVE HOME HEALTH SERVICES, INC.

MEDICARE: POSITIVE HOME HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency677915TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17003173OTHERTXAGENCY ID

General Provider Information

NPI Number : 1194895961
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE HOME HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 2600 AVE K
Second Line : SUITE 264
City : PLANO
State : TX
Zip : 75074-5306
Country : US
Telephone Number : 972-398-0643
Fax Number : 972-398-6044
Provider Business Practice Location Address
First Line : 2600 AVE K
Second Line : SUITE 264
City : PLANO
State : TX
Zip : 75074-5306
Country : US
Telephone Number : 972-398-0643
Fax Number : 972-398-6044
Authorized Official
Title or Position : CFO
Name : MR. CHRISTOPHER ANOSIKE ANYIAM
Credential :
Telephone Number : 972-398-0643
Provider Enumeration Date : 11/09/2006
Last Update Date : 08/29/2016

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