MR. EZEKIEL ADEYANJU OJEBODE (NPI# 1295967701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295967701 |
Entity Type | Individual |
Full Name | MR. EZEKIEL ADEYANJU OJEBODE |
Practice Address |
11312 Lyndon B Johnson Fwy Ste 200 Dallas TX 75238-3152 |
Practice Telephone | 2147787116 |
Mailing Telephone | 2147787116 |
Enumeration Date | 2009-08-17 |
Last Update Date | 2009-08-17 |
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 |
11312 LYNDON B JOHNSON FWY STE 200 |
City | DALLAS |
State | TX |
Zip Code | 75238-3152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
Find all providers in zip 75238 |
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 |
---|---|---|---|---|
1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
1629468871 | Krspatelpack,llc | Community Based Residential Treatment Facility, Mental Illness | 1535 West Mockingbird Lane, Suite #400, Dallas, TX 75235 | 2015-01-27 |
1508283631 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1282 Se Greening Dr, Dallas, OR 97338-9227 | 2014-03-26 |
1366563231 | Sinai House | Community Based Residential Treatment Facility, Mental Illness | 2719 Holmes St, Dallas, TX 75215-2746 | 2007-04-02 |
1467595827 | Turtle Creek Manor, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2707 Routh St, Dallas, TX 75201-1927 | 2007-02-15 |
1649358433 | Community Based Alternatives for Youth | Community Based Residential Treatment Facility, Mental Illness | 815 Limerick Drive, Dallas, NC 28034-9420 | 2006-11-01 |
1518327766 | Infinity Hcs Group Home Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Heather Glen Dr, Dallas, TX 75232-2313 | 2016-03-01 |
1003061987 | Fir Hill Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 1487 Main St, Dallas, OR 97338-2520 | 2008-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
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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.