Provider Demographics
NPI:1124317094
Name:SABINA PAD ENTERPRISES
Entity type:Organization
Organization Name:SABINA PAD ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:OLOPADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-603-3716
Mailing Address - Street 1:1800 E SPRING CREEK PKWY APT 1134
Mailing Address - Street 2:# 1134
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3220
Mailing Address - Country:US
Mailing Address - Phone:214-603-3716
Mailing Address - Fax:
Practice Address - Street 1:1800 E SPRING CREEK PKWY APT 1134
Practice Address - Street 2:# 1134
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3220
Practice Address - Country:US
Practice Address - Phone:214-603-3716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No385H00000XRespite Care FacilityRespite Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities