Olaniyan, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

OLANIYAN, LLC

Practice address

112 Carn St
Walterboro, SC 29488-3923

Phone

(843) 549-5207

Fax

(843) 549-5207

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Radiclani Clytus

Title

Owner

Phone

(843) 542-9290

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tucker's Adult Health Day Care Doing business as

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1396963286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CARN ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883923",
            "telephone_number": "843-549-5207",
            "fax_number": "843-549-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CARN ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883923",
            "telephone_number": "843-549-5207",
            "fax_number": "843-549-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLANIYAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "CLYTUS",
        "authorized_official_first_name": "RADICLANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-542-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0547",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucker's Adult Health Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mylinda Louise O'Quinn, RN
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• Adult Day Care Clinic/Center in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.