Immaculate Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010573 Issued in TX

Legal business name

IMMACULATE HEALTHCARE SERVICES INC

Practice address

4923 Steeple Chase Court
Grand Prairie, TX 75052

Phone

(972) 602-2008

Fax

(972) 602-3509

NPI assigned

Jul 29, 2006

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Olarinre Abosede Ajayi, REGISTERED NURSE

Title

Owner

Phone

(972) 602-2008

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1568476836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 STEEPLE CHASE COURT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-602-2008",
            "fax_number": "972-602-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 STEEPLE CHASE COURT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-602-2008",
            "fax_number": "972-602-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "OLARINRE",
        "authorized_official_middle_name": "ABOSEDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-602-2008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.