LAFIYA TELEHEALTH LLC; NPI #1508538893

Contact Information

LAFIYA TELEHEALTH LLC

2317 PROSPECT PARK LN
PROSPER, TX 75078-1666

Phone: 469-345-1264
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Facility Supplies	332BN1400X	87	All Other Suppliers
Clinic/Center	261Q00000X
Community Health	261QC1500X
Community/Behavioral Health	251S00000X
Customized Equipment	332BC3200X	87	All Other Suppliers
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Family Medicine	207Q00000X	08	Physician/Family Practice
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Health Service	261QH0100X
Mental Health	101YM0800X
Migrant Health	261QM1000X
Pastoral	101YP1600X
Point of Service	305S00000X
Professional	101YP2500X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LAFIYA TELEHEALTH LLC

NPI Number 1508538893

LBN Legal business name LAFIYA TELEHEALTH LLC

Authorized official JOHN ENOH - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2021

Last updated 10/06/2021 - About 5 years ago

Identifiers

Medicaid

NON

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LAFIYA TELEHEALTH LLC

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NPI Profile & details for LAFIYA TELEHEALTH LLC

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