Provider Demographics
NPI:1043994288
Name:OLBOT INC
Entity Type:Organization
Organization Name:OLBOT INC
Other - Org Name:OLBOT HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BOWOFADE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLATERU-OLAGBEGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-292-8939
Mailing Address - Street 1:2500 PINE TREE DRIVE DR NE
Mailing Address - Street 2:2216
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5608
Mailing Address - Country:US
Mailing Address - Phone:678-292-8939
Mailing Address - Fax:
Practice Address - Street 1:1811 VICTORY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3444
Practice Address - Country:US
Practice Address - Phone:678-292-8939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health