Provider Demographics
NPI:1912168626
Name:ELSHADAI GROUP, INC.
Entity Type:Organization
Organization Name:ELSHADAI GROUP, INC.
Other - Org Name:ELSHADAI HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYORINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-715-5725
Mailing Address - Street 1:1421 ATKINS ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8121
Mailing Address - Country:US
Mailing Address - Phone:214-715-5725
Mailing Address - Fax:972-291-3176
Practice Address - Street 1:1421 ATKINS ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-8121
Practice Address - Country:US
Practice Address - Phone:214-715-5725
Practice Address - Fax:972-291-3176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health