Tomajoa Healthcare Resources Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TOMAJOA HEALTHCARE RESOURCES INC

Practice address

4212 Wynfield Dr
Owings Mills, MD 21117-6171

Phone

(443) 271-7358

NPI assigned

Feb 13, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Olusoji Adetola

Title

Ceo

Phone

(443) 271-7358

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1750088563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 WYNFIELD DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176171",
            "telephone_number": "443-271-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 WYNFIELD DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176171",
            "telephone_number": "443-271-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAJOA HEALTHCARE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "OLUSOJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-271-7358"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675982",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.