Organization Active NPI

Providence Personal Assistance Services Inc.

  • Personal Care Attendant
  • Arlington, TX
National Provider Identifier
1790081545
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
PROVIDENCE PERSONAL ASSISTANCE SERVICES INC.
Practice address
6701 Victory Crest Dr
Arlington, TX 76002-3672
Phone
(817) 226-8759
Fax
(817) 226-8759
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Francis Deku
Title
President
Phone
(817) 226-8759

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00226 TX
In Home Supportive Care Agency 253Z00000X 08812 TX
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

6701 Victory Crest Dr
Arlington, TX 76002-3672

Mailing address

6701 Victory Crest Dr
Arlington, TX 76002-3672
Phone (817) 226-8759

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1790081545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 VICTORY CREST DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023672",
            "telephone_number": "817-226-8759",
            "fax_number": "817-226-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 VICTORY CREST DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023672",
            "telephone_number": "817-226-8759",
            "fax_number": "817-226-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PERSONAL ASSISTANCE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "DEKU",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-226-8759"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "00226",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "08812",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.