Olumide Ebenezer Olusanya

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8616 Accokeek St
Laurel, MD 20724-1986

Phone

(443) 525-5611

NPI assigned

Sep 23, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Otik Health Care Services

  • Home Health Agency
  • Laurel, MD
  • NPI 1689215170
  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1720639693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 ACCOKEEK ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241986",
            "telephone_number": "443-525-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 ACCOKEEK ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241986",
            "telephone_number": "443-525-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUSANYA",
        "first_name": "OLUMIDE",
        "middle_name": "EBENEZER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://otikhealth.com",
            "affiliation": "N",
            "endpointDescription": "https://otikhealth.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Xls",
            "address_1": "8616 Accokeek St",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207241986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Uzoezi Olomo, HHA
• Omolola Oloniyo
• Emmanuel Olorunyemi, PMHNP
• Grace M Olubena
• Taiwo C Oludare
• Rotimi Samsung Olusegun
• Nimota Y Olusi
• Olusola Jibodu
• Adejumoke Afolasade Oluwalade
• Omega Care Nursing Agency

• Home Health Aide in Laurel, MD
• Providers in Laurel, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.