NPIMap

Organization Active NPI

Oac Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Capitol Heights, MD
National Provider Identifier
1417518028
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
OAC ENTERPRISES LLC
Practice address
415 70TH St
Capitol Heights, MD 20743-2239
Phone
(240) 505-5158
Fax
(240) 200-8712
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Adedeji Charles OlagunjuNPI 1568931905
Title
Owner
Phone
(240) 505-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

415 70TH St
Capitol Heights, MD 20743-2239

Mailing address

415 70TH St
Capitol Heights, MD 20743-2239
Phone (240) 505-5158

Other identifiers 1

IdentifierTypeStateIssuer
1568931905MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL olagunjucharles15@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1417518028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 70TH ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432239",
            "telephone_number": "240-505-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 70TH ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432239",
            "telephone_number": "240-505-5158",
            "fax_number": "240-200-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAC ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "OLAGUNJU",
        "authorized_official_first_name": "ADEDEJI",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-505-5158"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568931905",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "olagunjucharles15@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company Email Address",
            "address_1": "415 70th St",
            "city": "Capitol Heights",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207432239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.