Adetunji Davis Eletu

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

S5103421 Issued in VA

Practice address

9400 Stonewall Rd Apt A1
Manassas, VA 20110-5539

Phone

(571) 505-0466

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1114331758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 STONEWALL ROAD, #A1",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "571-505-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 STONEWALL RD APT A1",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105539",
            "telephone_number": "571-505-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELETU",
        "first_name": "ADETUNJI",
        "middle_name": "DAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "S5103421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil El-Ayazra
• Marowah El-Jlailati
• Elaine K. Sours, D.D.S., P.C.
• Batoul Elamin, MD
• Elegant Smiles PLLC (Cannon Branch Dental of Manassas)
• Hadeel Elhaj
• Elite Medical Center LLC
• Sophie Louise Elliot, SPEECH-LANGUAGE PATH
• Dorie Christine Ellis, CRNA
• Keana Marie Ellis

• Home Health Agency in Manassas, VA
• Providers in Manassas, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.