Omobolaji Fakolujo

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

022429 Issued in TX

Practice address

12300 Dundee CT Ste 211
Cypress, TX 77429-8364

Phone

(346) 808-7675

NPI assigned

May 17, 2023

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Beejay Helping Angels LLC

  dba Seniors Helping Seniors

  • In Home Supportive Care Agency
  • Cypress, TX
  • NPI 1093408189
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1326739533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 DUNDEE CT SUITE 211",
            "address_2": "12300 DUNDEE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "832-806-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 DUNDEE CT STE 211",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298364",
            "telephone_number": "346-808-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKOLUJO",
        "first_name": "OMOBOLAJI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "022429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield Family Physicians, PA
• Fairfield Medical Center LLP
• Fairfield OB-GYN PLLC (Fairfield OB-GYN)
• Fairfield Professional LLC
• Harry Fairman Jr., MSN RN APRN FNP
• Gabriella Falco
• Alma Falcon, NNP-BC
• Family Autism Center LLC
• Family First Speech Therapy, L,L,C.
• Chiao-Ya Grace Fan, MD

• Home Health Agency in Cypress, TX
• Providers in Cypress, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.