Individual provider Active NPI

Olajumoke Foluke Ajayi, N/A

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1417566688
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
019928 Issued in TX
Practice address
9555 West Sam Houston Pwky S.
410
Houston, TX 77099
Phone
(832) 689-6321
Fax
(713) 800-4999
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 019928 TX Primary

Addresses

Primary practice location

9555 West Sam Houston Pwky S.
410
Houston, TX 77099

Mailing address

9555 W Sam Houston Pkwy S Ste 410
Houston, TX 77099-2168
Phone (832) 689-6321

Other names 1

  • Mr. Anthony Ehi Aidonmiyi Other name

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

LicenseStateTypeSpecialty
019928TXMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1417566688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 W SAM HOUSTON PKWY S STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992168",
            "telephone_number": "832-689-6321",
            "fax_number": "713-800-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 WEST SAM HOUSTON PWKY S.",
            "address_2": "410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77099",
            "telephone_number": "832-689-6321",
            "fax_number": "713-800-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLAJUMOKE",
        "middle_name": "FOLUKE",
        "name_prefix": "Ms.",
        "credential": "N/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "019928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "AIDONMIYI",
            "middle_name": "EHI",
            "prefix": "MR.",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.