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HAVILAH MOBILE WOUND HEALING SERVICES LLC
NPI 1730984428
Nurse Practitioner - Family in Parker, TX

Active since February 17, 2025
7308 FOREST BEND DR, PARKER, TX 75002(972) 922-4510(972) 442-0113 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Havilah Mobile Wound Healing Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVILAH MOBILE WOUND HEALING SERVICES LLC (NPI 1730984428) is a healthcare organization registered as a family in Parker, Texas and active in the NPI registry since February 2025. The organization lists Eziaku Jennifer Oliver, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730984428
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHAVILAH MOBILE WOUND HEALING SERVICES LLC
Location Address7308 FOREST BEND DRParker, TX 75002-6817
Mailing Address7308 Forest Bend DrParker, TX 75002-6817 · (972) 922-4510 · Fax (972) 442-0113
Phone(972) 922-4510
Fax(972) 442-0113
Organization SubpartNo
Authorized OfficialEziaku Jennifer OliverAdministrator · (972) 922-4510
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1730984428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7308 FOREST BEND DR, Parker, TX 75002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Havilah Mobile Wound Healing Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Havilah Mobile Wound Healing Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Eziaku Oliver, DR.
Nurse Practitioner
NPI 1205641073
7308 FOREST BEND DR
Parker, TX 75002
(972) 922-4510
✔ PECOS✔ Accepts MedicareSame address
Doris Udosen, NP
Nurse Practitioner
NPI 1700369808
800 E DAWSON ST
Tyler, TX 75701
(903) 606-7264
✔ PECOS✔ Accepts Medicare90 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havilah Mobile Wound Healing Services LLC's NPI number?

The NPI number for Havilah Mobile Wound Healing Services LLC is 1730984428. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Havilah Mobile Wound Healing Services LLC located?

Havilah Mobile Wound Healing Services LLC is located at 7308 Forest Bend Dr, Parker, TX 75002. The listed phone number is (972) 922-4510.

What is Havilah Mobile Wound Healing Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Havilah Mobile Wound Healing Services LLC enrolled in Medicare?

Yes. Havilah Mobile Wound Healing Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Havilah Mobile Wound Healing Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Havilah Mobile Wound Healing Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Havilah Mobile Wound Healing Services LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Havilah Mobile Wound Healing Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Havilah Mobile Wound Healing Services LLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.