Active NPI
Oluwaseun Y Okunoren
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1740960715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977 - Phone
- (240) 353-8509
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977
Mailing address
4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977
Phone (240) 353-8509
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Staffing Agency | Adult Companion | 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": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1740960715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 REVEREND DAVIS DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726977",
"telephone_number": "240-353-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 REVEREND DAVIS DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726977",
"telephone_number": "240-353-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUNOREN",
"first_name": "OLUWASEUN",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.