Active NPI
Ibilola Omotosho
- Home Health Aide
- Greenbelt, MD
National Provider Identifier
1598026023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 9127 Edmonston Ter
#202
Greenbelt, MD 20770-1543 - Phone
- (240) 898-6554
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
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 | HHA0775 | DC | |
| Home Health Aide | 374U00000X | DC | Primary |
Addresses
Primary practice location
9127 Edmonston Ter
#202
Greenbelt, MD 20770-1543
Mailing address
4019 Bridle Ridge Rd
Upper Marlboro, MD 20772-8095
Phone (240) 535-2955
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 |
|---|---|---|---|
| HHA0775 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1598026023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 BRIDLE RIDGE RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207728095",
"telephone_number": "240-535-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9127 EDMONSTON TER",
"address_2": "#202",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701543",
"telephone_number": "240-898-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOTOSHO",
"first_name": "IBILOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA0775",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.