MODEBOLA SANNI (NPI# 1063067528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063067528 |
| Entity Type | Individual |
| Full Name | MODEBOLA SANNI |
| Practice Address |
7609 Fontainebleau Dr Apt 2213 New Carrollton MD 20784-3822 |
| Practice Telephone | 2404912741 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers |
| Street Address |
7609 FONTAINEBLEAU DR APT 2213 |
| City | NEW CARROLLTON |
| State | MD |
| Zip Code | 20784-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731363 | Detos Services LLC | Ambulance | 7609 Fontainebleau Drive, #2213, New Carrollton, MD 20784 | 2019-10-16 |
| 1649742263 | Nelson Ngang | Registered Nurse | 6611 Stanton Road, Hyattsville, MD 20784 | 2018-12-20 |
| 1497222152 | Relindis Lum Asangong | Home Health Aide | 5393 Quincy Street, Hyattville, MD 20784 | 2018-10-30 |
| 1801378278 | Reward Oruomachukwu Ezeogu Sr. | Home Health Aide | 3410 55th Avenue Apt 403, Hyattsville, MD 20784 | 2018-09-03 |
| 1417439118 | Lesly Teke Agwenjang | Home Health Aide | 5201 Quincy Street, Apt B2, Blandesburg, MD 20784 | 2018-08-30 |
| 1457839003 | Oluwafunbi Olafusi | Home Health Aide | 5337 85th Ave Apt 13, New Carrollton, MD 20784 | 2018-08-04 |
| 1427542000 | Richard Earl Ballard Jr. | Counselor | Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 | 2018-06-18 |
| 1225530272 | Tamba Biango | Home Health Aide | 4066 Warner Ave C5, Hyattsville, MD 20784 | 2018-03-06 |
| 1356867410 | Boris Acha Acha | Home Health Aide | 3512 54th Avenue, Hyattsville, MD 20784 | 2017-08-20 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| Find all providers in zip 20784 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578014130 | Home Health Aid | Personal Emergency Response Attendant | 5822 Mentana St, 5, New Carrollton, MD 20784-3505 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215381835 | David S Blau | Personal Emergency Response Attendant | 3711 Clarinth Rd, Baltimore, MD 21215-2403 | 2016-04-20 |
| 1831575505 | Morgan Lorin Caldwell | Personal Emergency Response Attendant | 3911 Wabash Ave, Apt.1a, Baltimore, MD 21215-7526 | 2015-08-05 |
| 1386085983 | Caesar C Shediac | Personal Emergency Response Attendant | 302 E Joppa Rd, Apt 1402, Baltimore, MD 21286 | 2013-07-11 |
| 1740377274 | Delmarva Urgi-care Centers, LLC | Personal Emergency Response Attendant | 659 S Salisbury Blvd, Salisbury, MD 21801-5431 | 2006-10-06 |
| 1154384964 | Robert Alan Barish | Personal Emergency Response Attendant | 655 W Baltimore St, Room 14-011, Baltimore, MD 21201-1509 | 2006-04-11 |
| 1154300937 | Bettina Sarah Adjei | Personal Emergency Response Attendant | 1311 Londontown Blvd, Suite 130, Eldersburg, MD 21784 | 2006-01-11 |
| 1144645052 | Rodney Carter | Personal Emergency Response Attendant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2014-02-28 |
| 1093021974 | Cambria M Baylor | Personal Emergency Response Attendant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2010-08-30 |
| 1760501043 | Kenneth Butler | Personal Emergency Response Attendant | 110 S Paca St, Sixth Floor, Suite 200, Baltimore, MD 21201-1642 | 2007-03-28 |
| 1528191871 | Linda Leah Davis | Personal Emergency Response Attendant | 1 N Main St, Bel Air, MD 21014-3592 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW CARROLLTON |
| Zip Code | 20784 |
Please comment or provide details below to improve the information on MODEBOLA SANNI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.