Ebony Pearl Omotosho

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA20001252 Issued in DC

Practice address

2211 Town Center Dr SE
Washington, DC 20020-4001

Phone

(571) 622-0555

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1831935600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 TOWN CENTER DR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204001",
            "telephone_number": "571-622-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 TOWN CENTER DR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204001",
            "telephone_number": "571-622-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTOSHO",
        "first_name": "EBONY",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA0000607355",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA20001252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Tunde Omoniyi
• Ashleigh Amenaghawon Omorogbe, MD
• Martina Omoruyi
• Zainab Omosanya
• Abigael Omotosho, RN
• Seun Omotosho
• Ivan Omwega
• On the Move PT PLLC
• On the Move Wheelchair Clinic
• On With Life Therapies, Inc

• Home Health Aide in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.