PELUMI BADMUS INS. AGENCY, LLC (NPI# 1770014268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770014268 |
| Entity Type | Organization |
| Organization Name | PELUMI BADMUS INS. AGENCY, LLC |
| Other Organization Name | VOGUE ASSURANCE |
| Practice Address |
155 L Street, Nw ( R.h Terrell Recreation Center) Washington DC 20001 |
| Mailing Address |
Po Box 558 San Luis Rey CA 92068-0558 |
| Practice Telephone | 5714008461 |
| Mailing Telephone | 5714008461 |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | MS. OLUWAPELUMI OLUKOTUN (CERTIFIED CASE MANAGER) |
| Authorized Official Telephone | 5714008461 |
| Authorized Official Credential | BSN, MSHA, APRN, |
| Is Organization Subpart | Y |
| Parent Organization Name | HERO'S SHELTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | 4217575 | Agencies | |
| N | 251B00000X | Case Management | 4217575 | Agencies | |
| N | 251E00000X | Home Health | Agencies | ||
| N | 251T00000X | PACE Provider Organization | 4217575 | Agencies | |
| N | 252Y00000X | Early Intervention Provider Agency | 4217575 | Agencies | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 305S00000X | Point of Service | 4217575 | Managed Care Organizations | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 4217575 | Suppliers | |
| N | 347C00000X | Private Vehicle | 4217575 | Transportation Services | |
| Y | 251X00000X | Supports Brokerage | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 999999999999 | 05 | |
| MD | 999999999999 | 05 | |
| CA | 999999999999 | 05 | |
| DE | 999999999999 | 05 | |
| GA | 999999999999 | 05 | |
| FL | 999999999999 | 05 | |
| VA | 999999999999 | 05 | |
| DC | 999999999999 | 05 | |
| AL | 999999999999 | 05 | |
| TX | 999999999999 | 05 | |
| NY | 999999999999 | 05 | |
| LA | 999999999999 | 05 | |
| NC | 999999999999 | 05 |
| Other Name | Type Code |
|---|---|
| VOGUE ASSURANCE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3646 Ocean Ranch Blvd, Oceanside, CA 920562669 | 5714008461 |
| Street Address |
155 L STREET, NW ( R.H TERRELL RECREATION CENTER) |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762673 | Muslimah Annjinnah Shaffi | Home Health Aide | Perry Health System, 128 M Street N.w., Washington Dc, DC 20001 | 2020-05-21 |
| 1275197378 | Marica Donisha Robinette | Home Health | 471 G Place, Nw, #32, Washington, DC 20001 | 2019-04-24 |
| 1689147571 | Maria R Barrera | Counselor | 440 L St Nw, Unit 610, Washington, DC 20001 | 2019-01-03 |
| 1083185086 | Corneesha Donielle Banks | Technician | 307 Kst Nw, #309, Washington, DC 20001 | 2018-12-17 |
| 1548730138 | Briana Shayron Smith | Technician | 150 Q St Ne 1427, Washington, DC 20001 | 2018-11-27 |
| 1235609876 | Edward Bruce Lawson | Technician | 3400 Banneker Dr 425, Northeast, DC 20001 | 2018-11-27 |
| 1740760750 | Minchu Chen | Acupuncturist | 1410, 9th Street Nw #1, First Floor, Washington, DC 20001 | 2018-08-19 |
| 1821574005 | Kimberly Ann Bell | Home Health Aide | 27 O St Nw #4, Washington, DC 20001 | 2018-07-11 |
| 1558859926 | Joan Avis Williams | Home Health Aide | Unique Resident Care Center, 901 First Street Nw, Washington, DE 20001 | 2018-05-01 |
| 1497274088 | Gabriela Andrea Jatene | Speech-Language Pathologist | 450 K Street Nw, Apt 306, Washington, DC 20001 | 2017-09-14 |
| Find all providers in zip 20001 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386825255 | High Definition Hair | Supports Brokerage | 1312 9th St Nw, Washington, DC 20001-4208 | 2007-11-20 |
| 1578196523 | Tender Heart Supportive Services | Supports Brokerage | 12 Village Gate Rd, Washington, NJ 07882-4402 | 2020-02-18 |
| 1265752620 | Ida Mae Campbell Wellness & Resource Center | Supports Brokerage | 1338 N Capitol St Nw, Suite 101, Washington, DC 20002-3337 | 2010-06-08 |
| 1922249960 | Ida Mae Campbell Foundation | Supports Brokerage | 1338 N Capitol St Nw, Suite 101, Washington, DC 20002-3337 | 2009-03-22 |
| City | WASHINGTON |
| Zip Code | 20001 |
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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.