Provider Demographics
NPI:1699013193
Name:RICHPATH INTEGRATED CONCEPTS LIMITED
Entity Type:Organization
Organization Name:RICHPATH INTEGRATED CONCEPTS LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:AYODELE
Authorized Official - Last Name:OLOWOMEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-650-6680
Mailing Address - Street 1:1115 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-3015
Mailing Address - Country:US
Mailing Address - Phone:214-650-6680
Mailing Address - Fax:
Practice Address - Street 1:1115 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-3015
Practice Address - Country:US
Practice Address - Phone:214-650-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHPATH INTEGRATED CONCEPTS LIMITED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
TX347C0000X343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities