Provider Demographics
NPI:1548382989
Name:NAAMAN COMMUNITY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:NAAMAN COMMUNITY HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:TOPE
Authorized Official - Last Name:AKINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-224-1633
Mailing Address - Street 1:1510 N HAMPTON RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8300
Mailing Address - Country:US
Mailing Address - Phone:972-224-1633
Mailing Address - Fax:972-224-1647
Practice Address - Street 1:1510 N HAMPTON RD
Practice Address - Street 2:SUITE 310
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8300
Practice Address - Country:US
Practice Address - Phone:972-224-1633
Practice Address - Fax:972-224-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005978251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459441Medicare Oscar/Certification