Oluyemi Adedamola Adeyefa
Individual provider Active NPI Home Health Aide · Capitol Heights, MD
NPI 1871023085 · NPPES record last updated Jun 20, 2017
Key facts
- NPI
- 1871023085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- HHA12788 (DC)
- Practice address
- 6614 Ronald Rd Apt 202
Capitol Heights, MD 20743-7405 - Phone
- (240) 408-2181
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA12788 | DC | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA12788 | DC | Yes |
Addresses
Primary practice location
6614 Ronald Rd Apt 202
Capitol Heights, MD 20743-7405
Mailing address
6614 Ronad Road Apt. 202
Captiol Heights, MD 20743
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA12788 | Medicaid | DC |
Other providers in Capitol Heights, MD
- 1441, Inc
- Stancy Abo Acha
- Jimmietta Adams
- Fadumo Abdi Adan
- Tobiloba Adeleye
- Chantal Attignon Adikpeto II
- Adventures One, Inc
- Adventures One, Inc
- Adventures One, Inc.
- Johnson Olawole Afobiyeye
All providers in Capitol Heights, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.