Individual provider Active NPI

Adedapo Olosunde

  • Driver
  • Maumee, OH
National Provider Identifier
1316804115
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
VG526200 Issued in OH
Practice address
6800 Encore Cir Unit 252
Maumee, OH 43537-7811
Phone
(419) 936-8509
NPI assigned
Jan 6, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X VG526200 OH Primary

Addresses

Primary practice location

6800 Encore Cir Unit 252
Maumee, OH 43537-7811

Mailing address

6800 Encore Cir
Maumee, OH 43537-7802

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

LicenseStateTypeSpecialty
VG526200OHMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Harbor Services, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1316804115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 ENCORE CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435377802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 ENCORE CIR UNIT 252",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435377811",
            "telephone_number": "419-936-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOSUNDE",
        "first_name": "ADEDAPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "OH",
            "license": "VG526200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.