Individual provider Active NPI

Olufemi Olajide Aridegbe

  • Assisted Living Facility (Behavioral Disturbances)
  • Abilene, TX
National Provider Identifier
1740756865
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Practice address
4509 Marlboro Dr
Abilene, TX 79606-5472
Phone
(325) 305-3020
NPI assigned
Oct 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

4509 Marlboro Dr
Abilene, TX 79606-5472

Mailing address

4509 Marlboro Dr
Abilene, TX 79606-5472
Phone (325) 305-3020

Other names 1

  • Mr. Femi Olajide Aridegbe Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1740756865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 MARLBORO DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065472",
            "telephone_number": "325-305-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 MARLBORO DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065472",
            "telephone_number": "325-305-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIDEGBE",
        "first_name": "OLUFEMI",
        "middle_name": "OLAJIDE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEMI",
            "last_name": "ARIDEGBE",
            "middle_name": "OLAJIDE",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.