Comfort T Adewale

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

351718 Issued in NC

Practice address

370 New Kent Rd Apt 121
Blacksburg, VA 24060-6690

Phone

(931) 266-7718

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ebenezer Healthcare Services LLC

  • Home Health Agency
  • Vinton, VA
  • NPI 1568261378
  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1972344547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 NEW KENT RD APT 121",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606690",
            "telephone_number": "931-266-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 NEW KENT RD APT 121",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606690",
            "telephone_number": "931-266-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWALE",
        "first_name": "COMFORT",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "351718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Angela Abrams, M.D.
• Amin Abu Hejleh
• Academic Primary Care Associates
• Melissa Adams, LPC
• Adetunji Adeniran-Adetoye, MD
• Adjust NRV, PLLC
• Melanie J Adkins, LPC
• Miram Khan Afridi, M.D.
• Amir M Ahmed, DO
• Ibukunoluwa-Abike Elizabeth Akindele, MD

• Home Health Registered Nurse in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Home Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.