Provider Demographics
NPI:1215727391
Name:AKAN LLC
Entity type:Organization
Organization Name:AKAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:TOLULOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAONIPEKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-602-3175
Mailing Address - Street 1:1556 ADAMSON WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1902
Mailing Address - Country:US
Mailing Address - Phone:240-581-0979
Mailing Address - Fax:
Practice Address - Street 1:1556 ADAMSON WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1902
Practice Address - Country:US
Practice Address - Phone:240-581-0979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center