Individual provider Active NPI

Elizabeth Omolade, DIRECTOR

  • Homemaker
  • Wilmington, DE
National Provider Identifier
1972325165
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
2024927268 Issued in DE
Practice address
14 E 40TH St Ste 102
Wilmington, DE 19802-2361
Phone
(302) 276-8155
NPI assigned
Oct 29, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 2024927268 DE Primary

Addresses

Primary practice location

14 E 40TH St Ste 102
Wilmington, DE 19802-2361

Mailing address

78 Chaddwyck Blvd
New Castle, DE 19720-8803
Phone (267) 575-8581

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
2024927268DEMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Excellentcare Home Agency Current Accepting new patients
Excellentcare Home Agency Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1972325165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CHADDWYCK BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208803",
            "telephone_number": "267-575-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 40TH ST STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022361",
            "telephone_number": "302-276-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOLADE",
        "first_name": "ELIZABETH",
        "credential": "DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "DE",
            "license": "2024927268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.