# THEO ADEOYE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARADISE HOME HEALTH AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841420577
- **Authorized official:** MR. THEO ADEOYE SR. (ADMINISTRATOR)
- **Authorized official phone:** (817) 368-4524

## Contact information

- **Practice address:** 917 HEMS LN, ARLINGTON, TX 76001-5922
- **Practice address phone:** (817) 368-4524
- **Practice address fax:** (817) 468-0735
- **Mailing address:** 917 HEMS LN, ARLINGTON, TX 76001-5922
- **Mailing address phone:** (817) 368-4524
- **Mailing address fax:** (817) 468-0735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 011345 | TX | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011345 | STATE LICENSE NUMBER | TX |