Provider Demographics
| NPI: | 1679346480 |
|---|---|
| Name: | TESTAS HEALTHCARE SERVICES INC |
| Entity type: | Organization |
| Organization Name: | TESTAS HEALTHCARE SERVICES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SIMISOLA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ASEKUN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 817-883-4452 |
| Mailing Address - Street 1: | 607 E ABRAM ST STE 14 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ARLINGTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 76010-1206 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 817-883-4452 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 607 E ABRAM ST STE 14 |
| Practice Address - Street 2: | |
| Practice Address - City: | ARLINGTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 76010-1206 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 817-883-4452 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-11-02 |
| Last Update Date: | 2023-11-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| No | 251J00000X | Agencies | Nursing Care | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
| No | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone |
| No | 347E00000X | Transportation Services | Transportation Broker | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
