Providence Healthcare Services
LBN: Chinnam Group Inc
Providence Healthcare Services is an health care organization with primary practice located at 610 S Industrial Blvd Ste 120 , Euless TX 76040-5072. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care. Agencies / Home Health is the primary health care specialty.
Chinnam Group Inc can be contacted via phone (817) 545-3538, or through Ibeh, Josephine O via phone (817) 545-3538.
Contact Information
Primary practice address
610 S Industrial Blvd Ste 120
Euless TX 76040-5072
Phone: (817) 545-3538
Fax: (817) 358-3906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1427289065 |
|---|---|
| LBN Legal business name | Chinnam Group Inc |
| DBA Doing business as | Providence Healthcare Services |
| Authorized official | Ibeh, Josephine O |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | May 17th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427289065 | NPPES |
| Texas | MEDICAID | 013198 |
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