Ezra'S Homestead

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

EZRA'S HOMESTEAD

Practice address

5828 Arborlawn Dr Apt 1401
Fort Worth, TX 76109-3258

Phone

(817) 733-1790

NPI assigned

Jun 11, 2024

Organization subpart

Yes

Parent organization

PAUL AND LOVENIA ASSOCIATES INC.As reported in NPPES

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

Authorized official

Name

Lovenia Chead

Title

Director

Phone

(817) 733-1790

Specialties & licenses 5

Addresses

Other names 1

• Ezra's Homestead Doing business as

Locations

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1669214490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 17760",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "817-733-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 ARBORLAWN DR APT 1401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093258",
            "telephone_number": "817-733-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA'S HOMESTEAD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAUL AND LOVENIA ASSOCIATES INC.",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "CHEAD",
        "authorized_official_first_name": "LOVENIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-733-1790"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ezra's Homestead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anitha Ezekiel-Houghton, MD
• Hannah Ezekiel
• Justin H Ezell, D.O.
• Dawn Denise Ezelle, COTA
• Uzoma I Ezeuka
• Ezukanma Group of Companies Inc
• Lawretta Njideka Ezukanma, RN
• F W Family Practice PA
• Jane Roxanne Fabela, M. ED. LMFTA
• Paul Andrew Fabela, M.D.

• Intellectual Disabilities Intermediate Care Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.