OMOLOLA OLUBUNMI FAMORIYO (NPI# 1306190871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306190871 |
| Entity Type | Individual |
| Full Name | OMOLOLA OLUBUNMI FAMORIYO |
| Practice Address |
2901 Valerian Ln Upper Marlboro MD 20774-9215 |
| Mailing Address |
3925 Georgia Ave Nw Washington DC 20011-5860 |
| Practice Telephone | 2404858839 |
| Mailing Telephone | 2404858839 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
MT0077871 | MD | Nursing Service Providers |
| Street Address |
2901 VALERIAN LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1346860517 | Pierrette A Ebot | Registered Nurse | 1450 Mercantile Ln Ste 127, Upper Marlboro, MD 20774-5382 | 2020-04-17 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1831642735 | Delvis Awasung Vii | Registered Nurse | 76 Joyceton Way, Upper Marlboro, MD 20774 | 2016-07-27 |
| 1255527289 | Arlene Venable | Registered Nurse | 9801 Muirfield Dr, Upper Marlboro, MD 20772-5337 | 2007-09-24 |
| 1760922918 | Shalom Nursing Care Inc | Registered Nurse | 10400 Brookhaven Ln, Upper Marlboro, MD 20772-6658 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433679 | Ecia Mirian Tanu | Registered Nurse | 2600 Wallingford Ct, Bowie, MD 20721-3183 | 2020-10-07 |
| 1104431931 | Martin Anu Awung | Registered Nurse | 8611 Lugano Rd, Randallstown, MD 21133-4413 | 2020-09-09 |
| 1770195638 | Patricia Law | Registered Nurse | 1034 Bosley Rd, Cockeysville, MD 21030-3131 | 2020-08-20 |
| 1871104596 | Yashica Nakitia Ladejobi | Registered Nurse | 11511 Chantilly Ln, Bowie, MD 20721-2126 | 2020-08-14 |
| 1487265658 | Carrie Meitz | Registered Nurse | 11614 Taneytown Pike, Emmitsburg, MD 21727-8305 | 2020-08-12 |
| 1194336651 | Joybest Health Care LLC | Registered Nurse | 3602 Dianna Rd, Suitland, MD 20746-2224 | 2020-08-10 |
| 1134737497 | Thomas Mensah | Registered Nurse | 1003 W 7th St Ste 504, Frederick, MD 21701-8512 | 2020-07-22 |
| 1265040802 | Cathy Fieffe | Registered Nurse | 4021 Sparrow House Ln, Burtonsville, MD 20866-1333 | 2020-07-20 |
| 1710504899 | Lydia Naa Kowa Otoo | Registered Nurse | 7363 Hidden Cv, Columbia, MD 21046-2075 | 2020-07-06 |
| 1487271011 | Mobolaji Olatidoye | Registered Nurse | 7705 Big Buck Dr, Windsor Mill, MD 21244-2067 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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| 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.