Individual provider Active NPI

Olawale Bello

  • Licensed Practical Nurse
  • Harrisburg, PA
National Provider Identifier
1649769753
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN299092 Issued in PA
Practice address
4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112
Phone
(717) 579-4878
Fax
(717) 540-1704
NPI assigned
May 3, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN299092 PA Primary

Addresses

Primary practice location

4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112

Mailing address

4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112-2898
Phone (717) 579-4878

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
PN299092PAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bello Nurses LLC Licensed Practical Nurse PastSince Jul 24, 2022 Accepting new patients
Caring Heart Home Care LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1649769753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD STE 201",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122898",
            "telephone_number": "717-579-4878",
            "fax_number": "717-540-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 CRUMS MILL RD STE 201",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-579-4878",
            "fax_number": "717-540-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "OLAWALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN299092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.