Provider Demographics
NPI:1255190195
Name:HEALIFYHEALTH
Entity type:Organization
Organization Name:HEALIFYHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEMADE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-660-1012
Mailing Address - Street 1:5701 4TH ST STE 794
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2432
Mailing Address - Country:US
Mailing Address - Phone:832-660-1012
Mailing Address - Fax:
Practice Address - Street 1:5701 4TH ST STE 794
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2432
Practice Address - Country:US
Practice Address - Phone:832-660-1012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty