Healthcare Provider Details

I. General information

NPI: 1669204475
Provider Name (Legal Business Name): GMIND HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7413 BISHOP PINE RD
DENTON TX
76208-7703
US

IV. Provider business mailing address

7413 BISHOP PINE RD
DENTON TX
76208-7703
US

V. Phone/Fax

Practice location:
  • Phone: 940-337-5932
  • Fax: 832-631-6422
Mailing address:
  • Phone: 940-337-5932
  • Fax: 832-631-6422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ADEWUNMI ADEBAJO
Title or Position: OWNER
Credential: RN
Phone: 940-337-5932