Active NPI
Latifat Ogunwemimo
- Case Manager/Care Coordinator
- Springdale, MD
National Provider Identifier
1891380168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9319 Hobart St
Springdale, MD 20774-5413 - Phone
- (240) 988-7859
- Fax
- (410) 946-2010
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200002122 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9319 Hobart St
Springdale, MD 20774-5413
Mailing address
9319 Hobart St
Springdale, MD 20774-5413
Phone (240) 988-7859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA200002122 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1891380168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 HOBART ST",
"city": "SPRINGDALE",
"state": "MD",
"postal_code": "207745413",
"telephone_number": "240-988-7859",
"fax_number": "410-946-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 HOBART ST",
"city": "SPRINGDALE",
"state": "MD",
"postal_code": "207745413",
"telephone_number": "240-988-7859",
"fax_number": "410-946-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNWEMIMO",
"first_name": "LATIFAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200002122",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.