Individual provider Active NPI

Busoye Adeyanju

  • Home Health Aide
  • Randallstown, MD
National Provider Identifier
1194640995
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA20006824 Issued in DC
Practice address
9305 Master Derby Dr
Randallstown, MD 21133-2720
Phone
(443) 210-5718
NPI assigned
Aug 11, 2026
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA20006824 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

9305 Master Derby Dr
Randallstown, MD 21133-2720

Mailing address

9305 Master Derby Dr
Randallstown, MD 21133-2720
Phone (443) 210-5718

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1194640995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 MASTER DERBY DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332720",
            "telephone_number": "443-210-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MASTER DERBY DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332720",
            "telephone_number": "443-210-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYANJU",
        "first_name": "BUSOYE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA20006824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.