Provider Demographics
NPI:1518296607
Name:EMMANUEL OLADOKUN OJENIYI
Entity Type:Organization
Organization Name:EMMANUEL OLADOKUN OJENIYI
Other - Org Name:ACTIVE HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:OLADOKUN
Authorized Official - Last Name:OJENIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-989-2225
Mailing Address - Street 1:13326 RAIN LILY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1920
Mailing Address - Country:US
Mailing Address - Phone:281-989-2225
Mailing Address - Fax:
Practice Address - Street 1:13326 RAIN LILY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1920
Practice Address - Country:US
Practice Address - Phone:281-989-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate Vehicle
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty