Ishola Empire Incorporated

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ISHOLA EMPIRE INCORPORATED

Doing business as

St. Matthews Clinic

Practice address

118 Amaryliss Ave
Orange, TX 77630-4602

Phone

(850) 736-0779

NPI assigned

May 4, 2023

Last updated

May 26, 2023By 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

Mrs. Myishola Matthews

Title

Director

Phone

(850) 736-0779

Specialties & licenses 6

Addresses

Other names 1

• ST. MATTHEWS CLINIC Doing business as

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1487343547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AMARYLISS AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304602",
            "telephone_number": "720-663-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AMARYLISS AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304602",
            "telephone_number": "850-736-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHOLA EMPIRE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MYISHOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-736-0779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. MATTHEWS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. MATTHEWS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Mechele Holman, NURSE PRACTITIONER
• Horizon Associates LLC
• Howard C Williams MD PA
• In Home Services of Southeast Texas
• Inlightened Safe Haven
• Hamid R. Jalali, D.O.
• James B. Jones, M.D., P.a.
• Jamie M Waldrep MD PA
• Melanie Ann Aldea Jenkins, PTA
• Belinda Jimerson-Colston, LCDC

• Clinic/Center in Orange, TX
• Providers in Orange, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.