Shola Oyedele Oyewole

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

135 Quincy Ave Apt 409
Quincy, MA 02169-6737

Phone

(617) 820-3176

NPI assigned

Jul 25, 2025

Reactivated

Aug 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Delexcare Inc

  • Home Health Agency
  • Quincy, MA
  • NPI 1316822109

  In Home Supportive Care

  NPD

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1487536827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 QUINCY AVE APT 409",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696737",
            "telephone_number": "617-820-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 QUINCY AVE APT 409",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696737",
            "telephone_number": "617-820-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWOLE",
        "first_name": "SHOLA",
        "middle_name": "OYEDELE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "deactivation_date": "2025-08-09",
        "reactivation_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather T Outlaw
• Outreach Behavioral Health and Wellness Center Inc.
• Outreach Behavioral Health and Wellness Center LLC
• Danielle Louise Owen, LCSW, LADCI
• Suzanne M. Owens, LICSW
• Yuly Ozuna-Vargas
• Edward Pacheco III, PSY.D.
• Patricia C. Packard, PH.D.
• Madhavi Padukkavidana, M.A., M.A.
• Sarah Elizabeth Mary Paez, GNP-BC

• In Home Supportive Care Agency in Quincy, MA
• Providers in Quincy, MA by specialty
• In Home Supportive Care Agency in Massachusetts

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