Organization Active NPI

Yejide Olusola Oludare

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1093125668
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YEJIDE OLUSOLA OLUDARE
Practice address
12014 Newton TRL
San Antonio, TX 78253-5696
Phone
(361) 343-0695
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Mrs. Yejide Olusola Oludare, DONNPI 1922657287
Title
RN-BSN
Phone
(361) 343-0695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12014 Newton TRL
San Antonio, TX 78253-5696

Mailing address

12014 Newton TRL
San Antonio, TX 78253-5696
Phone (361) 343-0695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1093125668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 NEWTON TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535696",
            "telephone_number": "361-343-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12014 NEWTON TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535696",
            "telephone_number": "361-343-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEJIDE OLUSOLA OLUDARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "OLUDARE",
        "authorized_official_first_name": "YEJIDE",
        "authorized_official_middle_name": "OLUSOLA",
        "authorized_official_title_or_position": "RN-BSN",
        "authorized_official_telephone_number": "361-343-0695",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DON"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.