Tunde Akinsawe

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

4128 Brown Bark Cir
Randallstown, MD 21133-2054

Phone

(443) 657-0024

NPI assigned

Jan 31, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• God's Mercy and Grace Group Home Inc

  • Community/Behavioral Health Agency
  • Frederick, MD
  • NPI 1255107074

  Assisted Living, Behavioral Disturbances

  NPD Authorized official
• Rehoboth Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1285402412
  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1831895051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "443-657-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 BROWN BARK CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332054",
            "telephone_number": "443-657-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINSAWE",
        "first_name": "TUNDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000",
            "identifier": "92-2715526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajaeo Healthcare Services LLC
• Oluwaseun Ajao, RN
• Taiwo Ikeoluwa Ajao, MPH BSN RN
• Patrick Ajapmou
• Andrea Ajogun, CRNP
• Abisola Omowumi Alade, CRNP
• Alan Lefkowitz, M.D.
• Prosperlyn Alieh
• Bukola Temitope Almaroof
• Rana Alqusairi, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.