Hope Haven Medical LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOPE HAVEN MEDICAL LLC

Practice address

990 Sierra Ridge St
Henderson, NV 89002-9739

Phone

(702) 934-0219

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By 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

Oluwakemi Temitayo Obajuwonlo, MDNPI 1659971414

Title

MD

Phone

(702) 934-0219

Specialties & licenses 1

Addresses

Other names 1

• Hope Haven Medical 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, and the practitioner matching its NPPES authorized official.

• Oluwakemi Temitayo Obajuwonlo

  • General Practice Registered Nurse
  • Henderson, NV
  • NPI 1659971414
  NPD Authorized official

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1629962063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SIERRA RIDGE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029739",
            "telephone_number": "702-934-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SIERRA RIDGE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029739",
            "telephone_number": "702-934-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "OBAJUWONLO",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "TEMITAYO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-934-0219",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Haven Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samiyah M Hoodbhoy, PA-C
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• Denise Hooks
• Blake Hoover
• Mignon Hoover
• Gladys Gaye Hopkins Hillman
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• Makayla Hopson
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• Psychiatric/Mental Health Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.