Ademola Olatunji, MD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

809 Rodney Ave
Copperas Cove, TX 76522-2438

Phone

(254) 577-5547

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Sex

Male

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

Doctor of Medicine

Practice roles

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.

• All American Dream Assisted Living Facility, LLC

  • Assisted Living Facility
  • Copperas Cove, TX
  • NPI 1528526662
  NPD (past) Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1689189771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RODNEY AVE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222438",
            "telephone_number": "254-577-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RODNEY AVE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222438",
            "telephone_number": "254-577-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNJI",
        "first_name": "ADEMOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newday Psych Care
• Newlink Medical
• Van Anh Teresa Nguyen
• Northbridge DME Solutions LLC
• Chinelo Okpalaeze, OD
• Jesus Olivarez Jr.
• Our Caring Hands
• Makenna Taylor Ozenne
• Kate Pace, DPT
• Katrina Pacheco, RBT

• Assisted Living Facility in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.