Individual provider Active NPI

Alice Olufunmilayo Osogbuyi, HHA

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1124466362
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HCA-0035 Issued in DC
Practice address
1731 Bunker Hill Rd NE
Washington, DC 20017-3026
Phone
(202) 635-5756
Fax
(202) 635-5780
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HCA-0035 DC Primary

Addresses

Primary practice location

1731 Bunker Hill Rd NE
Washington, DC 20017-3026

Mailing address

4001 Warner Ave
Apt. C8
Hyattsville, MD 20784-1957
Phone (718) 930-9163

Other identifiers 1

IdentifierTypeStateIssuer
055705600MedicaidDC

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1124466362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WARNER AVE",
            "address_2": "APT. C8",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841957",
            "telephone_number": "718-930-9163",
            "fax_number": "202-635-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173026",
            "telephone_number": "202-635-5756",
            "fax_number": "202-635-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOGBUYI",
        "first_name": "ALICE",
        "middle_name": "OLUFUNMILAYO",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HCA-0035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055705600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.