Noelle & Philips LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NOELLE & PHILIPS LLC

Practice address

1217 Verheyden Dr
Desoto, TX 75115-1253

Phone

(214) 315-2392

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Olaniyi Soyebo

Title

Manager

Phone

(214) 315-2392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1104656750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 VERHEYDEN DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 VERHEYDEN DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151253",
            "telephone_number": "214-315-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOELLE & PHILIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SOYEBO",
        "authorized_official_first_name": "OLANIYI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-315-2392"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Desoto, TX
• Providers in Desoto, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.