Provider Demographics
NPI:1083669311
Name:NATIONAL HEALTH SERVICE CORPORATION
Entity Type:Organization
Organization Name:NATIONAL HEALTH SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMATHIL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-790-3200
Mailing Address - Street 1:3129 ESTERS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2837
Mailing Address - Country:US
Mailing Address - Phone:972-790-3200
Mailing Address - Fax:972-870-1031
Practice Address - Street 1:3129 ESTERS RD STE 103
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2837
Practice Address - Country:US
Practice Address - Phone:972-790-3200
Practice Address - Fax:972-870-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007558251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679060Medicare ID - Type Unspecified