Remilekun M Adebogun, RN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0019576 Issued in WI

Practice address

W72N675 Harrison Ave
Cedarburg, WI 53012-1725

Phone

(414) 803-0792

Fax

(262) 661-7743

NPI assigned

Aug 10, 2024

Last updated

Aug 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1821829953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 N BRIARHILL RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972601",
            "telephone_number": "414-803-0792",
            "fax_number": "262-661-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W72N675 HARRISON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121725",
            "telephone_number": "414-803-0792",
            "fax_number": "262-661-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBOGUN",
        "first_name": "REMILEKUN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0019576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.