Springway Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRINGWAY HEALTHCARE LLC

Practice address

1001 Matlock Rd Ste 105
Mansfield, TX 76063-6564

Phone

(817) 903-7837

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Aderonke EfunogbonNPI 1407248875

Title

Director

Phone

(817) 903-7837

Specialties & licenses 1

Addresses

Other names 1

• SPRINGWAY HEALTHCARE LLC Former legal business name

Practitioners 1

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

• Aderonke Efunogbon

  • Pharmacist
  • Mansfield, TX
  • NPI 1407248875
  NPD Authorized official

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1144077421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MATLOCK RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636564",
            "telephone_number": "817-903-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MATLOCK RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636564",
            "telephone_number": "817-903-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWAY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "EFUNOGBON",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-903-7837"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGWAY HEALTHCARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.