Organization Active NPI

Emkayho Homes LLC

  • Community/Behavioral Health Agency
  • Mansfield, TX
National Provider Identifier
1003496076
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMKAYHO HOMES LLC
Practice address
5200 Cool River CT
Mansfield, TX 76063-6831
Phone
(401) 365-0464
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Dr. Olabamiji Kazeem Abimbola, DSCPAS/PA-CNPI 1619460938
Title
President
Phone
(817) 531-7551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Community Health Clinic/Center 261QC1500X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Physical Disabilities Residential Treatment Facility 320700000X

Addresses

Primary practice location

5200 Cool River CT
Mansfield, TX 76063-6831

Mailing address

5200 Cool River CT
Mansfield, TX 76063-6831
Phone (817) 531-7551

Other identifiers 1

IdentifierTypeStateIssuer
804006167OtherTXCERTIFICATE OF FILLING

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1003496076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COOL RIVER CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636831",
            "telephone_number": "817-531-7551",
            "fax_number": "817-642-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 COOL RIVER CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636831",
            "telephone_number": "401-365-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMKAYHO HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "ABIMBOLA",
        "authorized_official_first_name": "OLABAMIJI",
        "authorized_official_middle_name": "KAZEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-531-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSCPAS/PA-C"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FILLING",
            "identifier": "804006167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.