Individual provider Active NPI

Kayode Ayodabo

  • Nursing Home Administrator
  • Milwaukee, WI
National Provider Identifier
1659219764
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
0020935 Issued in WI
Practice address
6060 N 39TH St
Milwaukee, WI 53209-3508
Phone
(414) 243-2968
NPI assigned
Mar 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X 0020935 WI Primary

Addresses

Primary practice location

6060 N 39TH St
Milwaukee, WI 53209-3508

Mailing address

6060 N 39TH St
Milwaukee, WI 53209-3508
Phone (414) 243-2968

Other identifiers 1

IdentifierTypeStateIssuer
0020936MedicaidWI

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
0020935WIMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Kemkay Family Care LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1659219764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N 39TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093508",
            "telephone_number": "414-243-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N 39TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532093508",
            "telephone_number": "414-243-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODABO",
        "first_name": "KAYODE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": "WI",
            "license": "0020935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020936",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.