Provider Demographics
NPI:1033154976
Name:NIGHTINGALE SERVICES, INC.
Entity Type:Organization
Organization Name:NIGHTINGALE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-780-0695
Mailing Address - Street 1:6220 WESTPARK DR
Mailing Address - Street 2:#220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7371
Mailing Address - Country:US
Mailing Address - Phone:713-780-0695
Mailing Address - Fax:
Practice Address - Street 1:6220 WESTPARK DR
Practice Address - Street 2:#220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7371
Practice Address - Country:US
Practice Address - Phone:713-780-0695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000466251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0249666Medicaid
TX457955Medicare ID - Type Unspecified