Healthcare Provider Details

I. General information

NPI: 1558299966
Provider Name (Legal Business Name): DFWCAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 SW ORBIT ST UNIT 212
BEAVERTON OR
97005-2780
US

IV. Provider business mailing address

4106 GAILLARDIA WAY
FORNEY TX
75126-0781
US

V. Phone/Fax

Practice location:
  • Phone: 254-436-2198
  • Fax:
Mailing address:
  • Phone:
  • Fax: 682-320-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LANRE ADEDIRAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 254-436-2198