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General NPI Number Information
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NPI Number | 1588020945
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Entity Type | Organization
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Legal Business Name | CYNTHIA A. EJIMADU
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 7523 TROULON DR 7523 TROULON DR
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City | HOUSTON
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State | TX
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Zip | 77074-4229
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Country | US
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Telephone | 281-948-4250
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Fax | 281-929-0811
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Provider Business Mailing Address
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Address Line | 7523 TROULON DR
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City | HOUSTON
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State | TX
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Zip | 77074-4229
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Country | US
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Telephone | 281-948-4250
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Fax | 281-929-0811
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | CYNTHIA ANN EJIMADU
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Credential |
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Telephone | 281-948-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 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 #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001021551
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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