Provider Demographics
NPI:1114730900
Name:KOYAS LLC
Entity type:Organization
Organization Name:KOYAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUBAYODE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-420-8796
Mailing Address - Street 1:4020 N MACARTHUR BLVD STE 122/ 7132
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038
Mailing Address - Country:US
Mailing Address - Phone:470-420-8796
Mailing Address - Fax:
Practice Address - Street 1:4020 N MACARTHUR BLVD STE 122/ 7132
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038
Practice Address - Country:US
Practice Address - Phone:470-420-8796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health