Individual provider Active NPI

Veronica Ade Adetula

  • Adult Day Care Clinic/Center
  • Cedar Hill, TX
National Provider Identifier
1689144693
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
307651 Issued in TX
Practice address
330 Cooper St
Cedar Hill, TX 75104-2628
Phone
(682) 553-3100
Fax
(972) 293-8901
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 307651 TX Primary

Addresses

Primary practice location

330 Cooper St
Cedar Hill, TX 75104-2628

Mailing address

PO Box 181714
Arlington, TX 76096-1714
Phone (682) 553-3100

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

State licenses

LicenseStateTypeSpecialty
307651TXMDAdult Day Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Zion'S Hope Adult Day Care Services Adult Day Care CurrentSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1689144693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181714",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760961714",
            "telephone_number": "682-553-3100",
            "fax_number": "972-293-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 COOPER ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042628",
            "telephone_number": "682-553-3100",
            "fax_number": "972-293-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETULA",
        "first_name": "VERONICA",
        "middle_name": "ADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "307651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.