Adebola Adereti

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

19 Chapmanview CT
Randallstown, MD 21133-3503

Phone

(240) 603-0890

NPI assigned

Jan 9, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Emmanuel Health Care Center L.L.LC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1851974885
  Authorized official Same address or phone

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1043727217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHAPMANVIEW CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333503",
            "telephone_number": "240-603-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHAPMANVIEW CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333503",
            "telephone_number": "240-603-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERETI",
        "first_name": "ADEBOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis James Addison, MSW, LGSW
• Oluremi Olufisola Adedapo, NP
• Olufunmilayo Iyabode Adedayo
• Adela Nursing Services Inc
• Janet Oluwabukunmi Adeola
• Busoye Adeyanju
• Nkemdilim Ebele Adimorah
• Advanced & Integrated Pain Management, LLC (Liberty Chiropractic & Physical Therapy Center at Randallstown)
• Advanced Dialysis Center
• Africa Meisha Walker, LLC

• Developmentally Disabled Services Day Training Agency in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.