Adewale Robiu Idris

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

HHA200002862 Issued in DC

Practice address

7103 Aquinas Ave
Upper Marlboro, MD 20772-4287

Phone

(301) 732-2413

NPI assigned

Jul 17, 2023

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1477232510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 AQUINAS AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724287",
            "telephone_number": "301-732-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 AQUINAS AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724287",
            "telephone_number": "301-732-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIS",
        "first_name": "ADEWALE",
        "middle_name": "ROBIU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA200002862",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Belen Iglesias Cruz
• Violet Igwacho
• Ijeoma Cindy Ihenachor
• Regina Okwuaku Ihenachor
• Ihoma Healthcare

• Home Health Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.