Lena Provider Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LENA PROVIDER SERVICES LLC

Practice address

12936 Preserve LN
Frisco, TX 75035-0132

Phone

(214) 573-3634

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By 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

Justin Ebai

Title

Owner

Phone

(214) 573-3634

Specialties & licenses 2

Addresses

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.

• Queenta Ayuk

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1104746932
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1679344980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12936 PRESERVE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350132",
            "telephone_number": "214-573-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12936 PRESERVE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350132",
            "telephone_number": "214-573-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENA PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "EBAI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-573-3634"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Polnick Leicester, PT, DPT
• Anne Collier Lemasters, LMSW
• Jodi Gould Lemeshev, M.D.
• Oyetokunbo Lemoru, FNP
• Zai Len
• Lenient Care Affiliates
• Latrina M Lenoir, FNP-C
• Lensmasters (Frisco Eye Clinic)
• Erin Leonhard
• Nicholas Lepore, PT

• Adult Care Home Facility in Frisco, TX
• Providers in Frisco, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.