Mobolaji Dada Oluade

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC6018 Issued in NC

Practice address

2015 Village Park Dr
Knightdale, NC 27545-7041

Phone

(919) 559-6056

NPI assigned

May 27, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Noble Care LLC

  • In Home Supportive Care Agency
  • Knightdale, NC
  • NPI 1073282877
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1891361150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 FERDINAND DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457457",
            "telephone_number": "919-559-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 VILLAGE PARK DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457041",
            "telephone_number": "919-559-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUADE",
        "first_name": "MOBOLAJI",
        "middle_name": "DADA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC6018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakwell ABA LLC
• Oasis Legacy Health at Home LLC
• Ojm Consulting and Coaching, PLLC
• Abigail Okantey
• Alexis Keller Olivier
• Ravita T. Omabu Okafor, MSW, LCSW
• Omni Visions, Inc.
• One Purpose Health Services, PLLC
• Orthopaedic Specialists of North Carolina, P.a.
• Myah Owens, LCSWA

• In Home Supportive Care Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.