Sundep LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNDEP LLC

Practice address

800 Bayshore Dr
Mansfield, TX 76063-6709

Phone

(817) 262-0580

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Olatunde Fagboyegun

Title

Manager

Phone

(817) 262-0580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1982363461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BAYSHORE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636709",
            "telephone_number": "817-262-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BAYSHORE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636709",
            "telephone_number": "817-262-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "FAGBOYEGUN",
        "authorized_official_first_name": "OLATUNDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-262-0580"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.