Active NPI
Bolarinwa Adeoye
- Registered Nurse
- Lansing, IL
National Provider Identifier
1144091760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041384097
- Practice address
- 2521 Ridge Rd
Lansing, IL 60438-2161 - Phone
- (708) 858-2939
- Fax
- (708) 889-6317
- NPI assigned
- Jan 11, 2024
- Last updated
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041384097 | IL | Primary |
Addresses
Primary practice location
2521 Ridge Rd
Lansing, IL 60438-2161
Mailing address
2521 Ridge Rd
Lansing, IL 60438-2161
Phone (708) 858-2939
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041384097 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Home Care Advantage, Inc. | Current | Accepting new patients | |
| Professional Home Care Advantage, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Chicago, IL
- NPI 1700760261
-
- Home Health Agency
- Lansing, IL
- NPI 1801845896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1144091760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 RIDGE RD",
"city": "LANSING",
"state": "IL",
"postal_code": "604382161",
"telephone_number": "708-858-2939",
"fax_number": "708-889-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 RIDGE RD",
"city": "LANSING",
"state": "IL",
"postal_code": "604382161",
"telephone_number": "708-858-2939",
"fax_number": "708-889-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEOYE",
"first_name": "BOLARINWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041384097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
- Academy for Children (AFC Professional Development Services)
- Accelerated Rehabilitation Centers LTD (Athletico Physical Therapy)
- Actually Me Therapy and Consultation PLLC
- Jaime Adams, COTA L
- Adaptive Health Solutions, LLC
- Wunmi F Airhunmwunde, FNP-C
- Allcare Home Health, Inc.
- Amazing Lloyd Medical Transportation Inc
- Angels Enterprise
- Apms Medical, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.