Individual provider Active NPI

Olukayode Odejimi

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1598003592
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA7039 Issued in DC
Practice address
439 Oneida PL NW
Washington, DC 20011-2150
Phone
(202) 291-7226
Fax
(202) 291-4009
NPI assigned
Jan 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA7039 DC Primary

Addresses

Primary practice location

439 Oneida PL NW
Washington, DC 20011-2150

Mailing address

7631 Woodpark LN
Apt. # 201
Columbia, MD 21046-2718
Phone (202) 291-7226

Other identifiers 1

IdentifierTypeStateIssuer
036061400MedicaidDC

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
HHA7039DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1598003592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 WOODPARK LN",
            "address_2": "APT. # 201",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462718",
            "telephone_number": "202-291-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 ONEIDA PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112150",
            "telephone_number": "202-291-7226",
            "fax_number": "202-291-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEJIMI",
        "first_name": "OLUKAYODE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA7039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.