Provider Demographics
NPI:1013248582
Name:CONVENANT HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:CONVENANT HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUFUNMILOLA
Authorized Official - Middle Name:ADEBIMPE
Authorized Official - Last Name:BAKARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-704-0027
Mailing Address - Street 1:7805 CALGARY LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7350
Mailing Address - Country:US
Mailing Address - Phone:817-704-0027
Mailing Address - Fax:
Practice Address - Street 1:7805 CALGARY LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7350
Practice Address - Country:US
Practice Address - Phone:817-704-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-23
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health