ADENIYI ADEDIRAN (NPI# 1780117044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780117044 |
| Entity Type | Individual |
| Full Name | ADENIYI ADEDIRAN |
| Practice Address |
200 Dahlberg Blvd Apt 7 Taylor TX 76574-1714 |
| Practice Telephone | 5128221073 |
| Mailing Telephone | 5128221073 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
374U00000X | TX | Respite Care Facility |
| Street Address |
200 DAHLBERG BLVD APT 7 |
| City | TAYLOR |
| State | TX |
| Zip Code | 76574-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388242 | Marisa Rickerson | Speech-Language Pathologist | Spjst, 1810 Old Granger Rd, Tayloe, TX 76574 | 2018-09-04 |
| 1841786134 | Deanna Cole | Registered Nurse | 2503 Donna Drive, Taylor, TX 76574 | 2018-07-10 |
| 1417313750 | Jesse James Maldonado | Pharmacist | 100 Carlos G Parker Blvd, Taylor, TX 76574 | 2015-12-31 |
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1306066618 | Dental Professionals of Taylor, P.l.l.c. | Clinic/Center | 1611 Old Granger Road, Suite A, Taylor, TX 76574 | 2007-04-27 |
| 1134258197 | Vernon Robert Bender | Dentist | 1611 Old Granger Rd, Taylor, TX 76574 | 2007-03-05 |
| 1528100898 | Taylor Care Center | Nursing Facility/Intermediate Care Facility | 212 East Lake Dr., Taylor, TX 76574 | 2007-02-13 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1306948765 | Ronald P Werner | Dentist | 501 Mallard Lane, Taylor, TX 76574 | 2006-09-05 |
| Find all providers in zip 76574 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136800 | Amboni Healthsource LLC | Respite Care | 23438 Amoroso St, Richmond, TX 77406-2069 | 2020-05-27 |
| 1780212803 | Mubarak LLC | Respite Care | 14227 Hawkesbury Ct, Sugar Land, TX 77498-9752 | 2020-04-01 |
| 1164078028 | True Vine Connection, LLC | Respite Care | 4914 Inverness Ave, Fort Worth, TX 76132-1608 | 2019-08-15 |
| 1750949954 | Bristers Place, Limited Liability Company | Respite Care | 22310 Tea Rose Ct, Richmond, TX 77407-2067 | 2019-06-03 |
| 1902368111 | Sugarfruit Properties, LLC | Respite Care | 11980 Overbrook Ln Apt 907, Houston, TX 77077-6662 | 2019-04-05 |
| 1720572126 | Joyful Gyvers Adult Advancement Center | Respite Care | 2920 Motley Dr Ste 100, Mesquite, TX 75150-3456 | 2018-06-19 |
| 1013401835 | At A Better Partnership Home LLC | Respite Care | 2800 Tranquility Lake Blvd Apt 6206, Pearland, TX 77584-4682 | 2018-06-15 |
| 1255820379 | Fresh Outpouring Outreach Center | Respite Care | 186 Sandpebble Dr, The Woodlands, TX 77381-3225 | 2018-05-03 |
| 1366952061 | Jlegend Health Care Center, LLC | Respite Care | 9903 S Dairy Ashford Rd Apt 4102, Houston, TX 77099-2330 | 2017-10-07 |
| 1083139786 | Ariana Home Care LLC | Respite Care | 6226 Vicki John Dr, Houston, TX 77096-5742 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
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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.