Organization Active NPI

Theo Adeoye

  • Skilled Nursing Facility
  • Arlington, TX
National Provider Identifier
1841420577
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
011345 Issued in TX
Legal business name
THEO ADEOYE
Practice address
917 Hems LN
Arlington, TX 76001-5922
Phone
(817) 368-4524
Fax
(817) 468-0735
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 011345 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 identifiers 1

IdentifierTypeStateIssuer
011345OtherTXSTATE LICENSE NUMBER

Other names 1

  • PARADISE HOME HEALTH AGENCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paradise Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1841420577",
    "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",
            "fax_number": "817-468-0735"
        },
        {
            "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",
            "fax_number": "817-468-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEO ADEOYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "011345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "011345",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARADISE HOME HEALTH 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 15, 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.