Healthcare Provider Details

I. General information

NPI: 1023382363
Provider Name (Legal Business Name): RYZOLVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9309 STATE HIGHWAY 75 S SUITE 102
NEW WAVERLY TX
77358-4247
US

IV. Provider business mailing address

9309 STATE HIGHWAY 75 S SUITE 102
NEW WAVERLY TX
77358-4247
US

V. Phone/Fax

Practice location:
  • Phone: 936-355-9490
  • Fax: 800-295-5512
Mailing address:
  • Phone: 363-559-4909
  • Fax: 800-295-5512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number014937
License Number StateTX

VIII. Authorized Official

Name: OLUBUKUN OGUNDEJI
Title or Position: OWNER
Credential: RN
Phone: 936-355-9490