Tajudeen O Odelowo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA7008 Issued in DC

Practice address

1220 12TH St SE Ste G35
Washington, DC 20003-3738

Phone

(202) 544-8090

Fax

(202) 544-8091

NPI assigned

Dec 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Universal Home Healthcare Inc.

  • Home Health Agency
  • Washington, DC
  • NPI 1063886745
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1861738288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 MARTIN LUTHER KING JR HWY APT 711",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061555",
            "telephone_number": "240-898-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE STE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033738",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELOWO",
        "first_name": "TAJUDEEN",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-13",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA7008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Lizzy Odedele
• Bolanle T Odeja
• Folashade Dane Odejimi
• Olukayode Odejimi
• Adekemi Odekunle
• Opeyemi Odemo
• Cynthia A Oden, MSPT
• Fred Oden Jr.
• Jacqueline Charraine Oden
• Jenell Monique Oden

• 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 Mar 28, 2018; 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.