Individual provider Active NPI

Abayomi Tomori Ajibola

  • Home Health Registered Nurse
  • Washington, DC
National Provider Identifier
1326060286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
CON0305 Issued in DC
Practice address
7412 Georgia Ave NW
Suite 3
Washington, DC 20012-1754
Phone
(202) 541-9500
Fax
(202) 541-9553
NPI assigned
Jul 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X CON0305 DC Primary

Addresses

Primary practice location

7412 Georgia Ave NW
Suite 3
Washington, DC 20012-1754

Mailing address

7412 Georgia Ave NW
Suite 3
Washington, DC 20012-1754
Phone (202) 541-9500

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
CON0305DCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rescare of Virginia Inc Current Accepting new patients
Beltway Nursing Services LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326060286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 GEORGIA AVE NW",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121754",
            "telephone_number": "202-541-9500",
            "fax_number": "202-541-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 GEORGIA AVE NW",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121754",
            "telephone_number": "202-541-9500",
            "fax_number": "202-541-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBOLA",
        "first_name": "ABAYOMI",
        "middle_name": "TOMORI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "CON0305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.