Individual provider Active NPI

Mogbadounhola Rosaline Laleye

  • Home Health Aide
  • Skokie, IL
National Provider Identifier
1710756523
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
3002496 Issued in IL
Practice address
9025 Lamon Ave Apt 1B
Skokie, IL 60077-1759
Phone
(773) 744-5422
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 3002496 IL Primary

Addresses

Primary practice location

9025 Lamon Ave Apt 1B
Skokie, IL 60077-1759

Mailing address

9025 Lamon Ave Apt 1B
Skokie, IL 60077-1759
Phone (773) 744-5422

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
3002496ILMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Lyberty75 Homecare 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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1710756523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 LAMON AVE APT 1B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771759",
            "telephone_number": "773-744-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 LAMON AVE APT 1B",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771759",
            "telephone_number": "773-744-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEYE",
        "first_name": "MOGBADOUNHOLA",
        "middle_name": "ROSALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": "3002496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.