Organization Active NPI

Adonai Light Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1962799551
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADONAI LIGHT HOSPICE LLC
Practice address
8700 Commerce Park Dr
Suite 218F
Houston, TX 77036-7497
Phone
(713) 779-5000
Fax
(713) 779-5001
NPI assigned
Jul 1, 2011
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Mr. Adegoke Okunade, CPA, CIA, MBA
Title
Chief Executive Officer
Phone
(713) 777-4704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

8700 Commerce Park Dr
Suite 218F
Houston, TX 77036-7497

Mailing address

8700 Commerce Park Dr
Suite 218F
Houston, TX 77036-7497
Phone (713) 779-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

8700 Commerce Park Dr
Ste 218F
Houston, TX 77036
Phone (713) 772-3900

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 14, 2016 Change of OwnershipThis provider was the seller Elysian HospiceCCN 671786, TX, NPI 1881053643

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1962799551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 218F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-779-5000",
            "fax_number": "713-779-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 218F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-779-5000",
            "fax_number": "713-779-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI LIGHT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "OKUNADE",
        "authorized_official_first_name": "ADEGOKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-777-4704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, CIA, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.