Rose O Omofoma, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

344432 Issued in OH

Practice address

3455 Boulder Ridge Dr
Maumee, OH 43537-9462

Phone

(419) 491-8151

NPI assigned

Mar 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Blessed Home Health Care Agency, LLC

  • Home Health Agency
  • Oregon, OH
  • NPI 1841562378
  NPD (past)

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1639445661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BOULDER RIDGE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BOULDER RIDGE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379462",
            "telephone_number": "419-491-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOFOMA",
        "first_name": "ROSE",
        "middle_name": "O",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "344432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philomena Okoro
• Ebony Elizabeth Oliver
• Julianne Olmstead, P.T.
• Adedapo Olosunde
• Douglas Olson, MD
• Jennifer Onwudiwe, RN
• Op Maumee, Inc.
• Ophthalmology Associates of Northwestern Ohio, Inc.
• Optimal Care Coh100 LLC
• Optimistic Therapy, LLC

• Registered Nurse in Maumee, OH
• Providers in Maumee, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.