Active NPI
Oluwatimilehin Oladipo
- Home Health Agency
- Harrisburg, PA
National Provider Identifier
1356830442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 4117 Deerfield Dr
Harrisburg, PA 17112-2860 - Phone
- (717) 379-4515
- Fax
- (717) 540-1700
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4117 Deerfield Dr
Harrisburg, PA 17112-2860
Mailing address
4117 Deerfield Dr
Harrisburg, PA 17112-2860
Phone (717) 379-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10079409 | Medicaid | PA |
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": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1356830442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 DEERFIELD DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122860",
"telephone_number": "717-379-4515",
"fax_number": "717-540-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 DEERFIELD DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122860",
"telephone_number": "717-379-4515",
"fax_number": "717-540-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLADIPO",
"first_name": "OLUWATIMILEHIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10079409",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.