Provider Demographics
NPI:1679375612
Name:SIMI SERVICES LLC
Entity type:Organization
Organization Name:SIMI SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUTOPE
Authorized Official - Middle Name:OLURANTI
Authorized Official - Last Name:AKERELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-736-5937
Mailing Address - Street 1:1321 ITZEL BND
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4106
Mailing Address - Country:US
Mailing Address - Phone:737-777-0846
Mailing Address - Fax:
Practice Address - Street 1:1321 ITZEL BND
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-4106
Practice Address - Country:US
Practice Address - Phone:737-777-0846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care