Hephzibah LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

HEPHZIBAH LLC

Practice address

201 Misty Mesa TRL
Mansfield, TX 76063-4817

Phone

(817) 453-5506

NPI assigned

Jan 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bolade Olusola Ade-Jagun

Title

Administrator

Phone

(817) 453-5506

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1003091646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MISTY MESA TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634817",
            "telephone_number": "817-453-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MISTY MESA TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634817",
            "telephone_number": "817-453-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHZIBAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "ADE-JAGUN",
        "authorized_official_first_name": "BOLADE",
        "authorized_official_middle_name": "OLUSOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-453-5506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Respite Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.