Provider Demographics
NPI:1053615096
Name:PROFICIENT HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:PROFICIENT HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:708-275-6694
Mailing Address - Street 1:900 PARKER PL STE C
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1482
Mailing Address - Country:US
Mailing Address - Phone:708-275-6694
Mailing Address - Fax:708-895-5561
Practice Address - Street 1:900 PARKER PL STE C
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1482
Practice Address - Country:US
Practice Address - Phone:708-275-6694
Practice Address - Fax:708-895-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health