Ibiyemi Safurat Adebiyi, REGISTERED NURSE/ADM
Individual provider Active NPI Home Health Registered Nurse · Converse, TX
NPI 1669985818 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1669985818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 905073 (TX)
- Practice address
- 7539 Copper Kettle
Converse, TX 78109-3936 - Phone
- (281) 794-3546
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905073 | TX | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeline Home Health | Past | Accepting new patients | |
| Amsaf Home Health Services Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 905073 | TX | Yes |
Addresses
Primary practice location
7539 Copper Kettle
Converse, TX 78109-3936
Mailing address
7539 Copper Kettle
Converse, TX 78109-3936
Phone (281) 794-3546
Other providers in Converse, TX
- Aakash Gupta DMD PLLC
- Jerimar Abinsay
- Accu Billing & Credentialing Services
- John Ray Acosta
- Adaya Healthcare Services LLC
- Affnity Kids, LLC
- Yaa Akyaa Afriyie
- Andrew Akindutire
- Lauretta Akpoyoware
- Akshar Dentistry PLLC
All providers in Converse, TX · Home Health Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.