Provider Demographics
NPI:1043407463
Name:PROFICIENT HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:PROFICIENT HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:708-895-5560
Mailing Address - Street 1:20316 TORRENCE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-7629
Mailing Address - Country:US
Mailing Address - Phone:708-895-5560
Mailing Address - Fax:708-895-5561
Practice Address - Street 1:20316 S TORRENCE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-7629
Practice Address - Country:US
Practice Address - Phone:708-895-5560
Practice Address - Fax:708-895-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-30
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health