=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982710919
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEFI, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2006
-----------------------------------------------------
Last Update Date | 08/05/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4715 MONARCH FALLS LANE
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-933-2300
-----------------------------------------------------
Fax | 281-933-2302
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 542262
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77254-2262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-933-2300
-----------------------------------------------------
Fax | 281-933-2302
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/DON/DIRECTOR
-----------------------------------------------------
Name | OLUWASEYI KEHINDE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-933-2300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 012556
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------