The 4TH Man LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE 4TH MAN LLC

Practice address

7241 Memorial Ave
Detroit, MI 48228-3518

Phone

(248) 897-6045

NPI assigned

Mar 31, 2026

Organization subpart

No

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

Authorized official

Name

Olushola Moses Adewole, MD

Title

Provider

Phone

(248) 897-6045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1730029331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 MEMORIAL AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283518",
            "telephone_number": "248-897-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 MEMORIAL AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283518",
            "telephone_number": "248-897-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 4TH MAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ADEWOLE",
        "authorized_official_first_name": "OLUSHOLA",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "248-897-6045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.