Individual provider Active NPI

Olamide Obilana

  • In Home Supportive Care Agency
  • Malvern, PA
National Provider Identifier
1952872822
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
38793601 Issued in PA
Practice address
114 Shilling Ave
Malvern, PA 19355-3268
Phone
(267) 324-9744
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 38793601 PA Primary

Addresses

Primary practice location

114 Shilling Ave
Malvern, PA 19355-3268

Mailing address

114 Shilling Ave
Malvern, PA 19355-3268
Phone (267) 324-9744

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

LicenseStateTypeSpecialty
38793601PAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Over Hearts LLC Current Accepting new patients
Cradle Heart In Home Supportive Care CurrentSince Jan 28, 2024 Accepting new patients
Playfull Therapy CurrentSince Mar 5, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1952872822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SHILLING AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553268",
            "telephone_number": "267-324-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SHILLING AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553268",
            "telephone_number": "267-324-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBILANA",
        "first_name": "OLAMIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "38793601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.