Active NPI
Oluwaseyi Kehinde
- Home Health Agency
- Houston, TX
National Provider Identifier
1962051052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012556
- Practice address
- 6111 Gladewell Dr
Houston, TX 77072-1501 - Phone
- (281) 933-2300
- Fax
- (271) 933-2302
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 012556 | TX | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 012556 | TX | |
| Home Health Agency | 251E00000X | 012556 | TX | Primary |
Addresses
Primary practice location
6111 Gladewell Dr
Houston, TX 77072-1501
Mailing address
4715 Monarch Falls LN
Richmond, TX 77469-1872
Phone (770) 608-6910
Other practice location 1
4715 Monarch Falls Ln
Richmond, TX 77469-1872
Phone (770) 608-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-0814149 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012556 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mefi, Inc. | Home Health | Current | 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.
-
- Home Health Agency
- Richmond, TX
- NPI 1982710919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1962051052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 MONARCH FALLS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774691872",
"telephone_number": "770-608-6910",
"fax_number": "281-933-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 GLADEWELL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770721501",
"telephone_number": "281-933-2300",
"fax_number": "271-933-2302"
}
],
"practiceLocations": [
{
"address_1": "4715 Monarch Falls Ln",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774691872",
"country_code": "US",
"telephone_number": "770-608-6910",
"fax_number": "281-933-2302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEHINDE",
"first_name": "OLUWASEYI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "012556",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "012556",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01-0814149",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.