Kolade Benson Omoyeni, MBA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

L1-0056032 Issued in DE

Practice address

205 River Way CT Apt 102
Owings Mills, MD 21117-5720

Phone

(646) 229-4597

NPI assigned

Feb 8, 2025

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

Credentials

Master of Business Administration

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 and National Provider Directory roles.

• Compassionate Comfort LLC

  • Home Health Aide
  • Owings Mills, MD
  • NPI 1053126995

  Single Specialty

  NPD Authorized official
• New Day Support Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rising Sun, MD
  • NPI 1184561318
  NPD Authorized official

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1154136141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIVER WAY CT APT 102",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175720",
            "telephone_number": "646-229-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIVER WAY CT APT 102",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175720",
            "telephone_number": "646-229-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYENI",
        "first_name": "KOLADE",
        "middle_name": "BENSON",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0056032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valderas Barksdale Oliver, LCPC
• Inna Olshansky, OTR
• Noryor Toritseju Omatseye
• Omega Access Services LLC
• Adedayo Temitope Omobo, CRNP-PMH
• One Step Further Mental Health Rehabilitation Program LLC
• Bruno Opara
• Crystal Delenous Opasina
• Augustina Olajumoke Opeewe-Ojo, APRN
• Joan Ordman, MD

• Registered Nurse in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.