El Shadai Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EL SHADAI HEALTHCARE SERVICES LLC

Practice address

2904 Shannon LN
Grand Prairie, TX 75052-8010

Phone

(972) 801-8511

Fax

(972) 352-5116

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Olusola Aderemi Akingbade, RN

Title

Administrator/Don

Phone

(972) 801-8511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1538464813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SHANNON LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528010",
            "telephone_number": "972-801-8511",
            "fax_number": "972-352-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 SHANNON LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528010",
            "telephone_number": "972-801-8511",
            "fax_number": "972-352-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADAI HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "AKINGBADE",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_middle_name": "ADEREMI",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "972-801-8511",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jan 19, 2011; 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.