NPIMap

Individual provider Active NPI

Nora O Adeyinka

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stafford, TX
National Provider Identifier
1649895830
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
12840 S Kirkwood Rd Apt 535
Stafford, TX 77477-3833
Phone
(832) 245-3651
Fax
(800) 513-3753
NPI assigned
Jun 12, 2020
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

12840 S Kirkwood Rd Apt 535
Stafford, TX 77477-3833

Mailing address

12840 S Kirkwood Rd Apt 535
Stafford, TX 77477-3833
Phone (832) 245-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Care Services LLC CurrentSince Mar 4, 2021 Accepting new patients
Nora Adeyinka Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1649895830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 S KIRKWOOD RD APT 535",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773833",
            "telephone_number": "832-245-3651",
            "fax_number": "800-513-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 S KIRKWOOD RD APT 535",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773833",
            "telephone_number": "832-245-3651",
            "fax_number": "800-513-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYINKA",
        "first_name": "NORA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.