Gold Omogbehin

Primary specialty

Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X

License

HC6427 Issued in NC

Practice address

2665 John Smith Rd Ste B
Fayetteville, NC 28306-2623

Phone

(910) 476-3859

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Gold Omogbehin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fogodemisa Home Care LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
  • NPI 1851042295
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1114678711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 SNOWY EGRET DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063227",
            "telephone_number": "910-476-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 JOHN SMITH RD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062623",
            "telephone_number": "910-476-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOGBEHIN",
        "first_name": "GOLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC6427",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "NC",
            "license": "HC6427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fogodemisausa@gmail.com",
            "affiliation": "N",
            "address_1": "2665 John Smith Rd Ste B",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283062623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GOLD",
            "last_name": "OMOGBEHIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ollane and Associates Inc.
• Brianna Olshavsky
• Olu Oyegunwa DDS PA
• Omni Ride LLC
• Omni Visions, Inc.
• On Call Nursing of NC Inc (On Call Nursing)
• On the Road Again, Inc.
• On-Call Nursing Inc
• On-Call Nursing of NC Inc (On Call Nursing)
• On-Call Nursing of NC Inc (On Call Nursing)

• Registered Respiratory Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Registered Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.