Provider Demographics
NPI:1902451990
Name:HEALTH SERVICES PROVIDER SOLUTIONS LLC
Entity type:Organization
Organization Name:HEALTH SERVICES PROVIDER SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FEISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-8622
Mailing Address - Street 1:12829 YORK MILL LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12829 YORK MILL LN
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-4027
Practice Address - Country:US
Practice Address - Phone:240-593-8622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care