Provider Demographics
NPI:1790501229
Name:FERVENT SERVICES INC
Entity type:Organization
Organization Name:FERVENT SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-471-5367
Mailing Address - Street 1:11151 WIND SONG LN
Mailing Address - Street 2:
Mailing Address - City:CROSS ROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-3670
Mailing Address - Country:US
Mailing Address - Phone:469-471-5367
Mailing Address - Fax:469-854-2682
Practice Address - Street 1:11151 WIND SONG LN
Practice Address - Street 2:
Practice Address - City:CROSS ROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-3670
Practice Address - Country:US
Practice Address - Phone:469-471-5367
Practice Address - Fax:469-854-2682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-30
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health