Active NPI
Wasiu A Omotayo
- Nursing Home Administrator
- Milwaukee, WI
National Provider Identifier
1194618892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 5414 W Villard Ave
Milwaukee, WI 53218-4224 - Phone
- (414) 241-2446
- NPI assigned
- May 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Nursing Home Administrator | 376G00000X | WI | Primary |
Addresses
Primary practice location
5414 W Villard Ave
Milwaukee, WI 53218-4224
Mailing address
5414 W Villard Ave
Milwaukee, WI 53218-4224
Phone (414) 241-2446
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": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768694400000",
"number": "1194618892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5414 W VILLARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184224",
"telephone_number": "414-241-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 W VILLARD AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184224",
"telephone_number": "414-241-2446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOTAYO",
"first_name": "WASIU",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-31",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.