Active NPI
Olanrewaju Olukolujo
- Home Health Aide
- Frisco, TX
National Provider Identifier
1902275795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 15234 Bull Run Dr
Frisco, TX 75035 - Phone
- (205) 844-0358
- NPI assigned
- Sep 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
15234 Bull Run Dr
Frisco, TX 75035
Mailing address
15234 Bull Run Dr
Frisco, TX 75035-5563
Phone (205) 844-0358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841661436 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PWK Logistics LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Mansfield, TX
- NPI 1841661436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1902275795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15234 BULL RUN DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355563",
"telephone_number": "205-844-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15234 BULL RUN DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "205-844-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUKOLUJO",
"first_name": "OLANREWAJU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-22",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841661436",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.