Individual provider Active NPI

Omonike Aremu

  • Home Health Aide
  • Alpharetta, GA
National Provider Identifier
1629499876
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
663606744A Issued in GA
Practice address
2475 Northwinds Pkwy
Ste 200
Alpharetta, GA 30009-4807
Phone
(770) 753-6021
Fax
(770) 476-2107
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 663606744A GA Primary

Addresses

Primary practice location

2475 Northwinds Pkwy
Ste 200
Alpharetta, GA 30009-4807

Mailing address

2475 Northwinds Pkwy
Ste 200
Alpharetta, GA 30009-4807
Phone (770) 753-6021

Other identifiers 1

IdentifierTypeStateIssuer
663606744AMedicaidGA

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
663606744AGAMDHome Health Aide

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1629499876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 NORTHWINDS PKWY",
            "address_2": "STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094807",
            "telephone_number": "770-753-6021",
            "fax_number": "770-476-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 NORTHWINDS PKWY",
            "address_2": "STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094807",
            "telephone_number": "770-753-6021",
            "fax_number": "770-476-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREMU",
        "first_name": "OMONIKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "663606744A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663606744A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.