Active NPI
Olufunmilayo Jimoh-Makanjuola
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1578922969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- CNA - A00134302
- Practice address
- 7 Sutton CT
Upper Marlboro, MD 20774-1424 - Phone
- (240) 696-9738
- NPI assigned
- Feb 15, 2016
- Last updated
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Home Health Agency | 251E00000X | CNA - A00134302 | MD | Primary |
Addresses
Primary practice location
7 Sutton CT
Upper Marlboro, MD 20774-1424
Mailing address
7 Sutton CT
Upper Marlboro, MD 20774-1424
Phone (240) 696-9738
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNA - A00134302 | MD | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1578922969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SUTTON CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741424",
"telephone_number": "240-696-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SUTTON CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741424",
"telephone_number": "240-696-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMOH-MAKANJUOLA",
"first_name": "OLUFUNMILAYO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "CNA - A00134302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.