SEGUN O ILORI (NPI# 1134749815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134749815 |
| Entity Type | Individual |
| Full Name | SEGUN O ILORI |
| Practice Address |
10729 Sandpiper Dr Houston TX 77096-5413 |
| Practice Telephone | 8325663339 |
| Mailing Telephone | 9999999999 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
10729 SANDPIPER DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77096-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860020 | Bod Health Care Service | Home Health | 10729 Sandpiper Dr, Houston, TX 77096-5413 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680420 | Sanitas Medical Center of Texas Pa | Family Medicine | 10101 S Post Rd, Houston, TX 77096 | 2020-02-07 |
| 1679113815 | Ashley Tolbert | Nurse Practitioner | 10101 S Post Oak Rd, Houston, TX 77096 | 2020-01-15 |
| 1992223564 | Elizabeth Olufuwa | Pharmacist | 9555 South Post Oak Road, Houston, TX 77096 | 2017-09-05 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1811388754 | Dr G Internal Medicine Pa | Clinic/Center | 5895 S Braeswood Blvd, Houston, TX 77096 | 2015-02-13 |
| 1386044287 | Peoples Champ Physical Therapy LLC | Clinic/Center | 8715 South Loop West, Suite E, Houston, TX 77096 | 2014-08-27 |
| 1821403833 | Vicky Chi Vu | Optometrist | 238 Meyerland Plaza, Houston, TX 77096 | 2014-06-27 |
| 1013327279 | Angela Patrick | Pharmacist | 10707 Albury Dr., Houston, TX 77096 | 2014-04-28 |
| 1568702470 | Ks Pharm LLC | Pharmacy | 560 Meyerland Plaza, Houston, TX 77096 | 2013-03-01 |
| 1295081057 | Kathleen Lawson Dreher | Dentist | 4830 Imogene, Houston, TX 77096 | 2012-07-31 |
| Find all providers in zip 77096 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
| 1134675598 | Mcr Home Sweet Home LLC | Community Based Residential Treatment Facility, Mental Illness | 7725 Pardee St, Houston, TX 77028-5235 | 2016-08-26 |
| 1760864789 | Leslie Turner | Community Based Residential Treatment Facility, Mental Illness | 10910 Bridlepark Cir, Houston, TX 77016-1890 | 2015-06-25 |
| 1093118069 | Dream Girls | Community Based Residential Treatment Facility, Mental Illness | 9234 Woodlyn Rd, Houston, TX 77078-3929 | 2014-10-03 |
| 1790191922 | Johnyale Mcdaniel | Community Based Residential Treatment Facility, Mental Illness | 2626 S Loop W Ste 650a, Houston, TX 77054-5628 | 2014-07-09 |
| 1225455199 | Allen's Residential Services | Community Based Residential Treatment Facility, Mental Illness | 5902 Lornia Lane, Houston, TX 77016 | 2014-03-27 |
| 1548511678 | Rcj Healthcare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 12502 Riva Ridge Ln, Houston, TX 77071-3223 | 2012-09-28 |
| 1962778936 | Hattie M Gamble | Community Based Residential Treatment Facility, Mental Illness | 5823 Mount Houston Rd, Houston, TX 77050-5429 | 2012-03-23 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.