Individual provider Active NPI

Abimbola Yewande Adewumi

  • Nursing Care Agency
  • Baltimore, MD
National Provider Identifier
1487400909
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RSA-01653 Issued in MD
Practice address
413 Lyman Ave
Baltimore, MD 21212-3512
Phone
(443) 854-3059
Fax
(443) 869-2525
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MD
Registered Nurse 163W00000X R267627 MD
Nursing Care Agency 251J00000X RSA-01653 MD Primary

Addresses

Primary practice location

413 Lyman Ave
Baltimore, MD 21212-3512

Mailing address

413 Lyman Ave
Baltimore, MD 21212-3512
Phone (443) 854-3059

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
R267627MDMDRegistered Nurse
RSA-01653MDMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Life and Light Healthcare Services LLC Registered Nurse CurrentSince Jun 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1487400909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LYMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123512",
            "telephone_number": "443-854-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LYMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123512",
            "telephone_number": "443-854-3059",
            "fax_number": "443-869-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWUMI",
        "first_name": "ABIMBOLA",
        "middle_name": "YEWANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R267627",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "RSA-01653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.