Kunle J Falowo

Key facts

NPI

1043104367

Entity type

Individual (NPI type 1)

Primary specialty

Day Training/Habilitation Specialist 373H00000X

Practice address

7177 E Rising Sun Cir S
Camby, IN 46113-8857

Phone

(317) 743-4929

NPI assigned

Jun 3, 2025

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2025.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1043104367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 E RISING SUN CIR S",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "461138857",
            "telephone_number": "317-743-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 E RISING SUN CIR S",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "461138857",
            "telephone_number": "317-743-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALOWO",
        "first_name": "KUNLE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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