Alys-Adele Conglomerate LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALYS-ADELE CONGLOMERATE LLC

Doing business as

Experience Home Care

Practice address

3319 Santa Teresa Ave
Dallas, TX 75228-3405

Phone

(469) 724-5523

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Adeyinka

Title

Owner/ Administrator

Phone

(469) 724-5523

Specialties & licenses 1

Addresses

Other names 1

• Experience Home Care Doing business as

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1215549084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 SANTA TERESA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283405",
            "telephone_number": "469-724-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SANTA TERESA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283405",
            "telephone_number": "469-724-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYS-ADELE CONGLOMERATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "ADEYINKA",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "469-724-5523"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experience Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.