Individual provider Active NPI

Olakanmi Ogunniyi, CEO

  • Home Health Agency
  • Egg Harbor Township, NJ
National Provider Identifier
1679293195
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0323400 Issued in NJ
Practice address
1402 Doughty Rd Ste 104
Egg Harbor Township, NJ 08234-5640
Phone
(609) 286-9303
Fax
(609) 286-9302
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0323400 NJ Primary

Addresses

Primary practice location

1402 Doughty Rd Ste 104
Egg Harbor Township, NJ 08234-5640

Mailing address

1402 Doughty Rd Ste 104
Egg Harbor Township, NJ 08234-5640
Phone (609) 286-9303

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
HP0323400NJMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Home Healthcare Services LLC Home Health CurrentSince Oct 23, 2022 Accepting new patients

Locations

1402 Doughty Rd
Ste 104
Egg Harbor Township, NJ 08234
Phone (609) 286-9303

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1679293195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 DOUGHTY RD STE 104",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345640",
            "telephone_number": "609-286-9303",
            "fax_number": "609-286-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 DOUGHTY RD STE 104",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345640",
            "telephone_number": "609-286-9303",
            "fax_number": "609-286-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNIYI",
        "first_name": "OLAKANMI",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0323400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.