Active NPI
Rekiat Olayiwola
- In Home Supportive Care Agency
- Bedford Heights, OH
National Provider Identifier
1750984654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 5311 Northfield Road Ste 410 Room 2
Bedford Heights, OH 44146-1135 - Phone
- (216) 402-9945
- NPI assigned
- Nov 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5311 Northfield Road Ste 410 Room 2
Bedford Heights, OH 44146-1135
Mailing address
5311 Northfield Rd Ste 410
Bedford Heights, OH 44146-1135
Phone (216) 402-9945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323707 | Medicaid | OH | |
| 1831359 | Other | OH | DODD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop |
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 |
|---|---|---|---|
| Elnora Home Health Agency, LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
5311 Northfield Rd
Ste 410
Bedford Hts, OH 44146
Phone (216) 394-3329
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.
-
- In Home Supportive Care Agency
- Bedford Heights, OH
- NPI 1174127500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1750984654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 NORTHFIELD RD STE 410",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441461135",
"telephone_number": "216-402-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 NORTHFIELD ROAD STE 410 ROOM 2",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441461135",
"telephone_number": "216-402-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAYIWOLA",
"first_name": "REKIAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323707",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD",
"identifier": "1831359",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "5311 Northfield Rd Ste 410",
"city": "Bedford Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441461135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.