Provider Demographics
NPI:1780834515
Name:NATIONAL AT EASE SERVICES LLC
Entity Type:Organization
Organization Name:NATIONAL AT EASE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:214-275-4100
Mailing Address - Street 1:6809 PRAIRIE FLOWER TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2834
Mailing Address - Country:US
Mailing Address - Phone:214-275-4100
Mailing Address - Fax:214-275-4106
Practice Address - Street 1:6809 PRAIRIE FLOWER TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2834
Practice Address - Country:US
Practice Address - Phone:214-275-4100
Practice Address - Fax:214-275-4106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care