Provider Demographics
NPI:1528019577
Name:ADENAIKE, CHRISTIANA NGOZI (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIANA
Middle Name:NGOZI
Last Name:ADENAIKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 TRIPOLI TRL
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-3272
Mailing Address - Country:US
Mailing Address - Phone:972-266-5214
Mailing Address - Fax:972-262-1723
Practice Address - Street 1:1313 TRIPOLI TRL
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-3272
Practice Address - Country:US
Practice Address - Phone:972-266-5214
Practice Address - Fax:972-262-1723
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010277163WH0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010277OtherTXDADS
1528019577OtherDBA LA MONIQUE HOME HEALTH SERVICES
TX010277OtherTXDADS