Provider Demographics
NPI:1831425446
Name:OPTIONONE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:OPTIONONE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLANIYI
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:ADEOYE
Authorized Official - Suffix:
Authorized Official - Credentials:RNMPH
Authorized Official - Phone:443-655-3711
Mailing Address - Street 1:8209 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3796
Mailing Address - Country:US
Mailing Address - Phone:443-655-3711
Mailing Address - Fax:817-394-1623
Practice Address - Street 1:8209 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3796
Practice Address - Country:US
Practice Address - Phone:443-655-3711
Practice Address - Fax:817-394-1623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN 152469251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care