Individual provider Active NPI

Abiola Adenike Ajayi

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1134482516
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1822 Jefferson PL NW
Washington, DC 20036-2505
Phone
(240) 515-9651
NPI assigned
Jun 20, 2012
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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 NU Primary

Addresses

Primary practice location

1822 Jefferson PL NW
Washington, DC 20036-2505

Mailing address

5544 Karen Elaine Dr Apt 1527
New Carrollton, MD 20784-4157
Phone (240) 515-9651

Other practice location 1

1822 Jefferson pl
Northwest, DC 20036
Phone (240) 515-9651

Other practice location 2

4100 53Rd Avenue
Bladensburg, MD 20710
Phone (240) 515-9651

Other identifiers 1

IdentifierTypeStateIssuer
1134482516MedicaidDC

Other names 1

  • Abiola Adenike Ajayi Former name

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1134482516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 KAREN ELAINE DR APT 1527",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207844157",
            "telephone_number": "240-515-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 JEFFERSON PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362505",
            "telephone_number": "240-515-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 Jefferson pl",
            "address_purpose": "LOCATION",
            "city": "Northwest",
            "state": "DC",
            "postal_code": "20036",
            "country_code": "US",
            "telephone_number": "240-515-9651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 53RD AVENUE",
            "address_purpose": "LOCATION",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "20710",
            "country_code": "US",
            "telephone_number": "240-515-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "ABIOLA",
        "middle_name": "ADENIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134482516",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIOLA",
            "last_name": "AJAYI",
            "middle_name": "ADENIKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 19, 2018; 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.