Organization · Type 2 NPI

PHCS Iv, Inc.

Home Health Agency · Tyler, TX

NPI number 1508025396 Active

Practice location

1021 E Southeast Loop 323 Ste 110B
Tyler, TX 75701-9656

Fax (469) 374-5420

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1508025396
Entity type: Organization (Type 2)
Issued: Jun 5, 2008
Last updated: Nov 17, 2020
Status: Active

Other names

<unavail>
Premier Healthcare Services-Lakeside · doing business as
Premier Healthcare Services-Lakeside · doing business as

Authorized official

Mrs. Patricia A Henderson
Administrator/president
(903) 526-0443

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508025396

PHCS Iv, Inc.'s National Provider Identifier is 1508025396, issued on Jun 5, 2008. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Tyler, TX. The record was last updated on Nov 17, 2020.