Provider Demographics
NPI:1508944729
Name:KOTUN KEHINDE A & ABORISADE TAIWO M
Entity Type:Organization
Organization Name:KOTUN KEHINDE A & ABORISADE TAIWO M
Other - Org Name:ULTIMATE HEALTHCARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:MOPELOLA
Authorized Official - Last Name:ABORISADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-759-5967
Mailing Address - Street 1:13131 FALLSVIEW LN
Mailing Address - Street 2:APT 821
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3608
Mailing Address - Country:US
Mailing Address - Phone:281-759-5967
Mailing Address - Fax:281-759-5967
Practice Address - Street 1:13131 FALLSVIEW LN
Practice Address - Street 2:APT 821
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3608
Practice Address - Country:US
Practice Address - Phone:281-759-5967
Practice Address - Fax:281-759-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health