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Active NPI 1306574298 Individual Practitioner Female Practitioner

Benedicta Izegboya Sobanjo

Assisted Living Facility • Austin, TX

Professional Overview & Biography Verified Profile Summary

Benedicta Sobanjo is a registered healthcare professional specializing in Assisted Living Facility in Austin, TX. Practice services are available at 12004 POLLYANNA AVE UNIT B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12004 Pollyanna Ave Unit B

Austin, TX 787532242

Telephone 5129983561

Specialty Benchmarks & Practice Insights

Comparative analytics for Assisted Living Facility in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Austin, TX (184 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-10
Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2022

Registered at 12004 POLLYANNA AVE UNIT B, AUSTIN, TX 787532242 (Tel: 5129983561)

📍
Updated Business Mailing Address August 10, 2022

Registered at 12004 POLLYANNA AVE UNIT B, AUSTIN, TX 787532242 (Tel: 5129983561)

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as BENEDICTA SOBANJO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Assisted Living Facility

🟢
Initial NPI Registration & Enumeration August 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306574298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2022
Last Update: August 10, 2022
Sole Proprietor: Yes

Mailing Address

12004 Pollyanna Ave Unit B

Austin, TX 787532242

Phone: 5129983561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.