MRS. TOYIN KIKELOMO OMOTOSHO (NPI# 1760957070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760957070 |
| Entity Type | Individual |
| Full Name | MRS. TOYIN KIKELOMO OMOTOSHO |
| Other Name | MRS. TOYIN KIKELOMO OMOTOSHO |
| Credential | RN |
| Practice Address |
2908 Montalbo Grand Prairie TX 75054-6506 |
| Practice Telephone | 9723529449 |
| Mailing Telephone | 9723529449 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 23316098 | 05 |
| Street Address |
2908 MONTALBO |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75054-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516798 | Joyce King Mathews | Technician | 6928 Clipper Dr., Grand Prairie, TX 75054 | 2019-09-10 |
| 1144883117 | Helpmates of America, LLC | Non-emergency Medical Transport (VAN) | 7315 Vienta Point, Grand Prairie, TX 75054 | 2019-04-16 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1689014110 | Skilled Speech Pathology Services, Pllc | Home Health | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1649538661 | Surety Care Home Health Services Inc | Home Health | 3032 S Camino Lagos, Grand Prairie, TX 75054 | 2012-04-27 |
| 1295986578 | Bcp Health Care Incorporated | Nursing Care | 3008 Nadar, Grand Prairie, TX 75054 | 2008-10-06 |
| 1275656274 | Alexus Dutchess Medical Consulant | Durable Medical Equipment & Medical Supplies | 3167 Gudaloupe, Grand Prairie, TX 75054 | 2007-04-06 |
| 1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
| 1578903084 | Katrina Taylor- Green | Speech-Language Pathologist | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
| 1275822009 | Homage Healthcare Services, Inc | Home Health | 3008 Nadar, Grand Prairie, TX 75054 | 2011-04-01 |
| Find all providers in zip 75054 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881214161 | A Diverse Family Inc. | Clinic/Center | 6788 Lakefront Dr, Grand Prairie, TX 75054-6831 | 2020-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986091 | Rise Pediatric Therapy Center LLC | Clinic/Center | 21004 North Fwy, Spring, TX 77373-2917 | 2020-06-10 |
| 1285257873 | Coaching and Behavior Support Services, LLC | Clinic/Center | 6957 Alto Rey Ave # A, El Paso, TX 79912-3015 | 2020-05-19 |
| 1710510177 | Monarch Behavioral Health, Pllc | Clinic/Center | 16607 Blanco Rd Ste 1107, San Antonio, TX 78232-1961 | 2020-02-13 |
| 1942840376 | Thrive N Grow LLC | Clinic/Center | 7108 N 23rd St Ste B4-b5, Mcallen, TX 78504-6506 | 2020-01-14 |
| 1306336870 | Grace Place Collin LLC | Clinic/Center | 6115 Cupertino Trl, Dallas, TX 75252-2642 | 2018-05-10 |
| 1811404635 | The Arc of North Texas | Clinic/Center | 445 Walnut St Ste 132, Richardson, TX 75081-7008 | 2018-01-02 |
| 1528411303 | Larkwood Living Center | Clinic/Center | 269 Timber Ln, Livingston, TX 77351-1573 | 2016-07-18 |
| 1578917829 | Safiya Inc | Clinic/Center | 3367 Ozark St, Houston, TX 77021-1134 | 2016-04-22 |
| 1790192060 | Careland, Inc | Clinic/Center | 3741 Mangum Rd, Houston, TX 77092-5407 | 2014-07-17 |
| 1801210505 | Lone Star Day Program | Clinic/Center | 14864 County Road 433, Tyler, TX 75706 | 2014-02-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.