ST NICHOLAS PROVIDER SERVICES INC
NPI 1013934751
Home Health in Arlington, TX

Q: What is St Nicholas Provider Services Inc's NPI number?

The NPI number for St Nicholas Provider Services Inc is 1013934751. It was assigned to this organization in the NPPES registry on July 17, 2006.

Q: What is St Nicholas Provider Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 17, 2006

7008 LAKE JACKSON DR, ARLINGTON, TX 76002(817) 468-9006(817) 468-9006 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Nicholas Provider Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST NICHOLAS PROVIDER SERVICES INC (NPI 1013934751) is a healthcare organization registered as a home health in Arlington, Texas and active in the NPI registry since July 2006. The organization lists Olufesola M Fasakin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013934751

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameST NICHOLAS PROVIDER SERVICES INC

Location Address7008 LAKE JACKSON DRArlington, TX 76002-4054

Mailing Address7008 Lake Jackson DrArlington, TX 76002-4054 · (817) 468-9006 · Fax (817) 468-9006

Phone(817) 468-9006

Fax(817) 468-9006

Organization SubpartNo

Authorized OfficialOlufesola M FasakinAdministrator · (817) 468-9006

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 19, 2010

✔ NPI 1013934751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in TX · 010407

Definition

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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

7008 LAKE JACKSON DR, Arlington, TX 76002

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Other Identifiers 3

Medicaid205352201TX

Other010407TX · State Home Health License

Medicare OSCAR/certification679638TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Nicholas Provider Services Inc's NPI number?

The NPI number for St Nicholas Provider Services Inc is 1013934751. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is St Nicholas Provider Services Inc located?

St Nicholas Provider Services Inc is located at 7008 Lake Jackson Dr, Arlington, TX 76002. The listed phone number is (817) 468-9006.

What is St Nicholas Provider Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for St Nicholas Provider Services Inc was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.