Organization Active NPI

Bolademi Adetola

  • Home Health Agency
  • Harbor City, CA
National Provider Identifier
1609078575
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOLADEMI ADETOLA
Practice address
24404 Vermont Ave
Suite 206
Harbor City, CA 90710-2313
Phone
(310) 539-6889
Fax
(310) 517-0171
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Bolademi Adetola, RN BSNNPI 1598938995
Title
Directordpcs
Phone
(310) 539-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

24404 Vermont Ave
Suite 206
Harbor City, CA 90710-2313

Mailing address

24404 Vermont Ave
Suite 206
Harbor City, CA 90710-2313
Phone (310) 539-6889

Other names 1

  • LIFECARE HOME HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

24404 Vermont Ave
Ste 206
Harbor City, CA 90710
Phone (310) 539-6889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1609078575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 206",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-539-6889",
            "fax_number": "310-517-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 206",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-539-6889",
            "fax_number": "310-517-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLADEMI ADETOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "BOLADEMI",
        "authorized_official_title_or_position": "DIRECTORDPCS",
        "authorized_official_telephone_number": "310-539-6889",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECARE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.