MEDICARE: RYZOLVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse
2	251J00000X	Nursing Care Agency
3	372500000X	Chore Provider
4	372600000X	Adult Companion
5	3747A0650X	Attendant Care Provider
6	3747P1801X	Personal Care Attendant
7	374U00000X	Home Health Aide
8	376J00000X	Homemaker
9	385H00000X	Respite Care
10	251E00000X	Home Health Agency	014937	TX

General Provider Information

NPI Number	:	1023382363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYZOLVE LLC

Provider Business Mailing Address
First Line	:	9309 STATE HIGHWAY 75 S
Second Line	:	SUITE 102
City	:	NEW WAVERLY
State	:	TX
Zip	:	77358-4247
Country	:	US
Telephone Number	:	363-559-4909
Fax Number	:	800-295-5512

Provider Business Practice Location Address
First Line	:	9309 STATE HIGHWAY 75 S
Second Line	:	SUITE 102
City	:	NEW WAVERLY
State	:	TX
Zip	:	77358-4247
Country	:	US
Telephone Number	:	936-355-9490
Fax Number	:	800-295-5512

Authorized Official
Title or Position	:	OWNER
Name	:	OLUBUKUN OGUNDEJI
Credential	:	RN
Telephone Number	:	936-355-9490

Provider Enumeration Date	:	03/05/2012
Last Update Date	:	11/21/2024

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Directions to “RYZOLVE LLC ” Practice Location

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