Active NPI
Adeniyi Olubunmi Adeoye, OWNER
- Home Health Aide
- Cedar Hill, TX
National Provider Identifier
1073119640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 020255
- Practice address
- 610 Uptown Blvd
Cedar Hill, TX 75104-3527 - Phone
- (401) 699-9989
- Fax
- (214) 988-1301
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 020255 | TX | |
| Home Health Aide | 374U00000X | 020255 | TX | Primary |
| Nurse's Aide | 376K00000X | 020255 | TX |
Addresses
Primary practice location
610 Uptown Blvd
Cedar Hill, TX 75104-3527
Mailing address
2824 Pino
Grand Prairie, TX 75054-0108
Phone (401) 626-8800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020255 | TX | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aedel Global Health Services LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Grand Prairie, TX
- NPI 1588275473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1073119640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 PINO",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540108",
"telephone_number": "401-626-8800",
"fax_number": "214-988-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 UPTOWN BLVD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043527",
"telephone_number": "401-699-9989",
"fax_number": "214-988-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEOYE",
"first_name": "ADENIYI",
"middle_name": "OLUBUNMI",
"credential": "OWNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "TX",
"license": "020255",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TX",
"license": "020255",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TX",
"license": "020255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.