Provider Demographics
| NPI: | 1295249688 |
|---|---|
| Name: | PROVEN HEALTHCARE RESOURCES INC. |
| Entity type: | Organization |
| Organization Name: | PROVEN HEALTHCARE RESOURCES INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | OLAYINKA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FOLAYAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PT |
| Authorized Official - Phone: | 703-344-8217 |
| Mailing Address - Street 1: | 8201 EUCLID CT STE 201E |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MANASSAS PARK |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 20111-4835 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 8201 EUCLID CT STE 201E |
| Practice Address - Street 2: | |
| Practice Address - City: | MANASSAS PARK |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 20111-4835 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 703-344-8217 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-11-22 |
| Last Update Date: | 2017-11-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty |