Provider Demographics
NPI:1770205080
Name:RICHLAND HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:RICHLAND HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OYEYEMI
Authorized Official - Middle Name:OLUFUNMILAYO
Authorized Official - Last Name:ADESOBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:346-414-1682
Mailing Address - Street 1:9898 BISSONNET ST STE 547
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8025
Mailing Address - Country:US
Mailing Address - Phone:346-414-1682
Mailing Address - Fax:
Practice Address - Street 1:9898 BISSONNET ST STE 547
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8025
Practice Address - Country:US
Practice Address - Phone:346-414-1682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No385H00000XRespite Care FacilityRespite Care