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St Nicholas Provider Services Inc
Home Health Agency in Arlington, Texas
NPI 1013934751

St Nicholas Provider Services Inc is a Home Health Agency based in Arlington, TX. St Nicholas Provider Services Inc practices in Arlington, TX. The NPI Number for St Nicholas Provider Services Inc is 1013934751 and holds a License No. 010407 (Texas).

The current practice location address for St Nicholas Provider Services Inc is 7008 Lake Jackson Dr, Arlington, TX and can be reached out via phone at 817-468-9006 and via fax at 817-468-9006.

Location: 7008 Lake Jackson Dr, Arlington, TX, 76002-4054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013934751
Provider Name
St Nicholas Provider Services Inc
Credential
Provider Entity Type
Organization
Address
7008 Lake Jackson Dr, Arlington, TX, 76002-4054
Phone Number
817-468-9006
Fax Number
817-468-9006
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010407 01 TX STATE HOME HEALTH LICENSE
205352201 05 TX
institution
Provider Business Practice Location Address Details
Address
7008 Lake Jackson Dr
City
Arlington
State
Texas
Zip
76002-4054
Phone Number
817-468-9006
Fax Number
817-468-9006
person
Provider Business Mailing Address Details
Address
7008 Lake Jackson Dr
City
Arlington
State
Texas
Zip
76002-4054
Phone Number
817-468-9006
Fax Number
817-468-9006
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
010407 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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