Individual provider Active NPI

Roland Olasunkanmi Awolope

  • Home Health Agency
  • Kalamazoo, MI
National Provider Identifier
1568080794
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AS390402971 Issued in MI
Practice address
3916 Oakland Dr
Kalamazoo, MI 49008-2859
Phone
(269) 873-4532
NPI assigned
Jul 14, 2020
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 AS390402971 MI Primary

Addresses

Primary practice location

3916 Oakland Dr
Kalamazoo, MI 49008-2859

Mailing address

3916 Oakland Dr
Kalamazoo, MI 49008-2859
Phone (269) 873-4532

Other practice location 1

5204 Beech Ave
Kalamazoo, MI 49006-1986
Phone (269) 873-4532

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
AS390402971MIMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Delight's Afc Home Health Current Accepting new patients
Greater Heights Afc Home Health CurrentSince Nov 19, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1568080794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 OAKLAND DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082859",
            "telephone_number": "269-873-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 OAKLAND DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082859",
            "telephone_number": "269-873-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5204 Beech Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490061986",
            "country_code": "US",
            "telephone_number": "269-873-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOLOPE",
        "first_name": "ROLAND",
        "middle_name": "OLASUNKANMI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "AS390402971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.