Organization Active NPI

El Shadai Care Home

  • Assisted Living Facility
  • Cedar Hill, TX
National Provider Identifier
1700066610
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
121949 Issued in TX
Legal business name
EL SHADAI CARE HOME
Practice address
1225 Nutting St
Cedar Hill, TX 75104-8135
Phone
(972) 291-7445
Fax
(972) 291-3176
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Elizabeth O Ayorinde
Title
Owner
Phone
(214) 715-5725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 121949 TX Primary

Addresses

Primary practice location

1225 Nutting St
Cedar Hill, TX 75104-8135

Mailing address

1225 Nutting St
Cedar Hill, TX 75104-8135
Phone (972) 291-7445

Other identifiers 1

IdentifierTypeStateIssuer
121949OtherTXASSISTED LIVING HOME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1700066610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NUTTING ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048135",
            "telephone_number": "972-291-7445",
            "fax_number": "972-291-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NUTTING ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048135",
            "telephone_number": "972-291-7445",
            "fax_number": "972-291-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADAI CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "AYORINDE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-715-5725"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "121949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME",
            "identifier": "121949",
            "state": "TX"
        }
    ],
    "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 Nov 8, 2007; 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.