Organization Active NPI

Theo Adeoye

  • Licensed Vocational Nurse
  • Arlington, TX
National Provider Identifier
1770666885
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
166982 Issued in TX
Legal business name
THEO ADEOYE
Doing business as
Paradise Home Agency
Practice address
917 Hems LN
Arlington, TX 76001-5922
Phone
(817) 368-4524
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Theo Adeoye Sr.
Title
Administrator
Phone
(817) 368-4524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X 166982 TX Primary

Addresses

Primary practice location

917 Hems LN
Arlington, TX 76001-5922

Mailing address

917 Hems LN
Arlington, TX 76001-5922
Phone (817) 368-4524

Other names 1

  • Paradise Home Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1770666885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 HEMS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015922",
            "telephone_number": "817-368-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 HEMS LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015922",
            "telephone_number": "817-368-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO ADEOYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-368-4524",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "166982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Home Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.