GLADYS EZIMAKO (NPI# 1205208303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205208303 |
| Entity Type | Individual |
| Full Name | GLADYS EZIMAKO |
| Practice Address |
1205 Water Spaniel Way Round Rock TX 78664-3414 |
| Practice Telephone | 5122121108 |
| Mailing Telephone | 5122121108 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 017038 | TX | Agencies |
| Street Address |
1205 WATER SPANIEL WAY |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942757182 | Guiding Angels | Home Health | 1205 Water Spaniel Way, Round Rock, TX 78664-3414 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414352 | Shunammite Home Care | Home Health | 1648 Bayland St, Round Rock, TX 78664-3746 | 2020-07-21 |
| 1649830324 | Family Care Network LLC | Home Health | 310 W Main St Ste 106, Round Rock, TX 78664-5848 | 2019-06-16 |
| 1437625100 | Toyin Oba LLC | Home Health | 709 Tom Kite Dr, Round Rock, TX 78664-3987 | 2018-10-19 |
| 1649630237 | Lovely Saints Home Care Inc | Home Health | 1508 Hidden Springs Path, Round Rock, TX 78665-5029 | 2016-02-25 |
| 1457727182 | Christy Grace Health Center Inc | Home Health | 1001 Aransas Cv, Round Rock, TX 78664-4630 | 2015-08-17 |
| 1639598527 | Hospitality Home Healthcare Agency LLC | Home Health | 1508 Thibodeaux Dr, Round Rock, TX 78664-7208 | 2014-04-08 |
| 1245672310 | Cantex Home Health Austin LLC | Home Health | 525 Round Rock West Dr, #a170, Round Rock, TX 78681-5020 | 2013-07-18 |
| 1245671346 | Valerian Home Health and Hospice LLC | Home Health | 4701 Campus Village Dr, Round Rock, TX 78665-1122 | 2013-07-17 |
| 1356682900 | Total Care Home Health Inc | Home Health | 8237 Arezzo Dr, Round Rock, TX 78665-4516 | 2013-03-06 |
| 1124385240 | Adedolapo Tiwalade Adekoya | Home Health | 1104 S. Mays Street Suite 112, Round Rock, TX 78664 | 2012-04-13 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.