Provider Demographics
NPI:1003236142
Name:SWIFT PROVIDER SERVICES, INC
Entity Type:Organization
Organization Name:SWIFT PROVIDER SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIKODI
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:MERENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-280-5050
Mailing Address - Street 1:9800 CENTRE PKWY STE 675
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8271
Mailing Address - Country:US
Mailing Address - Phone:713-280-5050
Mailing Address - Fax:206-202-1441
Practice Address - Street 1:9800 CENTRE PKWY STE 675
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8271
Practice Address - Country:US
Practice Address - Phone:713-280-5050
Practice Address - Fax:206-202-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care