Active NPI
Babatunde Odebode
- Home Health Registered Nurse
- Landover, MD
National Provider Identifier
1386052355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R3581P
- Practice address
- 608 Limerick Way
Landover, MD 20785-5912 - Phone
- (240) 354-7045
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- No
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 Registered Nurse | 163WH0200X | R3581P | MD | Primary |
Addresses
Primary practice location
608 Limerick Way
Landover, MD 20785-5912
Mailing address
608 Limerick Way
Landover, MD 20785-5912
Phone (240) 354-7045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R3581P | Other | MD | RESIDENTIAL SERVICE AGENCY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R3581P | MD | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1386052355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 LIMERICK WAY",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207855912",
"telephone_number": "240-354-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 LIMERICK WAY",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207855912",
"telephone_number": "240-354-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEBODE",
"first_name": "BABATUNDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MD",
"license": "R3581P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENTIAL SERVICE AGENCY",
"identifier": "R3581P",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.