Parker Health Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PARKER HEALTH CARE SERVICES INC

Practice address

2305 Oak Lane Ste 211
Grand Prairie, TX 75051

Phone

(469) 610-5471

Fax

(469) 610-5475

NPI assigned

Jan 16, 2009

Last updated

Nov 15, 2018By 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

Mr. Oluwatoyin Oluwasola, BSN,RN

Title

Administrator

Phone

(469) 610-5471

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669619300. Details of each certification follow.

• CCN 747454 Home health agency · Active · Details

Home health agency certification: CCN 747454

Legal name

PARKER HEALTH CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 19, 2010

Last certification

Aug 21, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 7, 2009 in TX

Enrollment address

2307 Oak LN
Ste 213
Grand Prairie, TX 75051-8285
HHA Branch

Listed as

Parker Health Care Services IncCCN 747454 · All quality measures

Ownership

Proprietary

Certified

Nov 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1669619300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 OAK LANE STE 211",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051",
            "telephone_number": "469-610-5471",
            "fax_number": "469-610-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 OAK LANE STE 211",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051",
            "telephone_number": "469-610-5471",
            "fax_number": "469-610-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "OLUWASOLA",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-610-5471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN,RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285418401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Frances Paredes
• Cameron Parikh, PT, DPT
• Navin C Parikh, MD
• Vijay N Parikh, PT
• Wilhelmine Punsalan Park, DDS
• Marcini Leandrew Parrish, LPTA
• Radha Kumari Paruchuri, MD
• Shabana Parvez, MD
• Amrish Patel
• Bhumiben Meet Patel

• 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 Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.