Individual provider Active NPI

Adeniyi Olubunmi Adeoye, OWNER

  • Home Health Aide
  • Cedar Hill, TX
National Provider Identifier
1073119640
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
020255 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
020255TXMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Aedel Global Health Services LLC CurrentSince Dec 14, 2020 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.

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.

Verify at the official NPI Registry.