Provider Demographics
NPI:1437342136
Name:PHCS I INC
Entity Type:Organization
Organization Name:PHCS I INC
Other - Org Name:PREMIER HEALTH CARE SERVICES I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-526-3477
Mailing Address - Street 1:1021 E SOUTHEAST LOOP 323 STE 110
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8001
Mailing Address - Country:US
Mailing Address - Phone:903-526-3477
Mailing Address - Fax:903-526-3482
Practice Address - Street 1:1021 E SOUTHEAST LOOP 323 STE 110
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8001
Practice Address - Country:US
Practice Address - Phone:903-526-3477
Practice Address - Fax:903-526-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-25
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health