Individual provider Active NPI

Romoke M Olutunde, CNA

  • Home Health Aide
  • Cedar Rapids, IA
National Provider Identifier
1033363502
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3330 Southgate CT SW Ste 205
Cedar Rapids, IA 52404-5416
Phone
(319) 892-0507
Fax
(319) 892-0265
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

3330 Southgate CT SW Ste 205
Cedar Rapids, IA 52404-5416

Mailing address

3330 Southgate CT SW Ste 205
Cedar Rapids, IA 52404-5416
Phone (319) 892-0507

Other identifiers 1

IdentifierTypeStateIssuer
0400484MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Ages Care Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1033363502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SOUTHGATE CT SW STE 205",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045416",
            "telephone_number": "319-892-0507",
            "fax_number": "319-892-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SOUTHGATE CT SW STE 205",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045416",
            "telephone_number": "319-892-0507",
            "fax_number": "319-892-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUTUNDE",
        "first_name": "ROMOKE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400484",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.