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General NPI Number Information
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NPI Number | 1003496076
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Entity Type | Organization
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Legal Business Name | EMKAYHO HOMES LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 5200 COOL RIVER CT
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City | MANSFIELD
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State | TX
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Zip | 76063-6831
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Country | US
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Telephone | 401-365-0464
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 COOL RIVER CT
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City | MANSFIELD
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State | TX
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Zip | 76063-6831
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Country | US
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Telephone | 817-531-7551
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Fax | 817-642-9167
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLABAMIJI KAZEEM ABIMBOLA
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Credential | DSCPAS/PA-C
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Telephone | 817-531-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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