Individual provider Active NPI

Olufunmilayo Jimoh-Makanjuola

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1578922969
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CNA - A00134302 Issued in MD
Practice address
7 Sutton CT
Upper Marlboro, MD 20774-1424
Phone
(240) 696-9738
NPI assigned
Feb 15, 2016
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CNA - A00134302MDMDHome 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.

Verify at the official NPI Registry.