Titomo Healthcare Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TITOMO HEALTHCARE SERVICES LLC

Practice address

1708 Greens LN
Hanover, MD 21076-1116

Phone

(240) 583-0528

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Tajudeen Omodeoye, CRNP-PMHNPI 1356817373

Title

Ceo / CRNP-PMH

Phone

(240) 583-0528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tajudeen Omodeoye, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1356817373
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1720627151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 GREENS LN",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761116",
            "telephone_number": "240-583-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 GREENS LN",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761116",
            "telephone_number": "240-583-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITOMO HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "OMODEOYE",
        "authorized_official_first_name": "TAJUDEEN",
        "authorized_official_title_or_position": "CEO / CRNP-PMH",
        "authorized_official_telephone_number": "240-583-0528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Serenity Community, LLC
• Keshia C Thompson, FNP
• Kevin Anthony Thompson, PHARM D
• Norah Jemutai Tio
• Randolf Gabila Tita
• Mircea C Todor, M.D.
• Rhonda Toney, R.PH., CBC
• Total Pain Care
• Julie Tran, O.D.
• Vivian Tran, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Hanover, MD
• Providers in Hanover, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.