Provider Demographics
NPI:1497750236
Name:PATIENT CENTERED SERVICES, INC.
Entity type:Organization
Organization Name:PATIENT CENTERED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MALIAKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-424-4454
Mailing Address - Street 1:310 E INTERSTATE 30 STE B104
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4047
Mailing Address - Country:US
Mailing Address - Phone:972-424-4454
Mailing Address - Fax:972-423-7906
Practice Address - Street 1:310 E INTERSTATE 30 STE B104
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4047
Practice Address - Country:US
Practice Address - Phone:972-424-4454
Practice Address - Fax:972-423-7906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X, 251J00000X, 3747A0650X, 3747P1801X, 374U00000X, 385H00000X
TX003264251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX003264OtherSTATE LICENSE NUMBER
TX458277OtherMEDICARE PTAN