Active NPI
Hero's Shelter Inc.
Doing business as Badmus Insurance Agency
- Public Health or Welfare Agency
- Oceanside, CA
National Provider Identifier
1962890053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- HERO'S SHELTER INC.
- Doing business as
- Badmus Insurance Agency
- Practice address
- 3646 Ocean Ranch Blvd
Oceanside, CA 92056-2669 - Phone
- (571) 400-8461
- NPI assigned
- Dec 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Oluwapelumi Olukotun, BSN, MSHA, APRN, CCM
- Title
- Health Services Executive
- Phone
- (571) 400-8461
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| PACE Provider Organization | 251T00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Foster Care Agency | 253J00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Corporate Health Clinic/Center | 261QC1800X | |||
| Religious Nonmedical Health Care Institution | 282J00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
3646 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Mailing address
PO Box 558
San Luis Rey, CA 92068-0558
Phone (571) 400-8461
Other identifiers 32
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999999999 | Medicaid | FL | |
| 999999999999 | Medicaid | PR | |
| 999999999999 | Medicaid | WV | |
| 999999999999 | Medicaid | MN | |
| 999999999999 | Medicaid | AK | |
| 999999999999 | Medicaid | CO | |
| 99999999999999 | Medicaid | AK | |
| 999999999999 | Medicaid | NV | |
| 999999999999 | Medicaid | MD | |
| 999999999999 | Medicaid | AR | |
| 999999999999 | Medicaid | VA | |
| 999999999999 | Medicaid | NE | |
| 999999999999 | Medicaid | HI | |
| 999999999999 | Medicaid | MA | |
| 999999999999 | Medicaid | MO | |
| 999999999999 | Medicaid | NJ | |
| 999999999999 | Medicaid | OH | |
| 999999999999 | Medicaid | IN | |
| 999999999999 | Medicaid | CT | |
| 999999999999 | Medicaid | PA | |
| 999999999999 | Medicaid | AZ | |
| 999999999999 | Medicaid | TX | |
| 999999999999 | Medicaid | SC | |
| 999999999999 | Medicaid | CA | |
| 999999999999 | Medicaid | IL | |
| 999999999999 | Medicaid | DC | |
| 999999999999 | Medicaid | DE | |
| 999999999999 | Medicaid | TN | |
| 999999999999 | Medicaid | SD | |
| 999999999999 | Medicaid | NY | |
| 999999999999 | Medicaid | NC | |
| 9999999999999 | Medicaid | VI |
Other names 1
- Badmus Insurance Agency
National Provider Directory
National Provider DirectoryLocations
3646 Ocean Ranch Blvd
Oceanside, CA 92056
Phone (571) 400-8461
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Oceanside, CA
- NPI 1265820278
Case Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1962890053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 558",
"city": "SAN LUIS REY",
"state": "CA",
"postal_code": "920680558",
"telephone_number": "571-400-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 OCEAN RANCH BLVD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920562669",
"telephone_number": "571-400-8461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERO'S SHELTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-26",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "OLUKOTUN",
"authorized_official_first_name": "OLUWAPELUMI",
"authorized_official_title_or_position": "HEALTH SERVICES EXECUTIVE",
"authorized_official_telephone_number": "571-400-8461",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSN, MSHA, APRN, CCM"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
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],
"endpoints": [],
"other_names": [
{
"organization_name": "Badmus Insurance Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.