Provider Demographics
NPI:1841638426
Name:AKINYEMI, OLASUMBO (HHA)
Entity type:Individual
Prefix:MRS
First Name:OLASUMBO
Middle Name:
Last Name:AKINYEMI
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:MS
Other - First Name:OLASUMBO
Other - Middle Name:
Other - Last Name:BELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3221 75TH AVENUE
Mailing Address - Street 2:404
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD - MARYLAND
Mailing Address - Zip Code:20785
Mailing Address - Country:UM
Mailing Address - Phone:301-267-3720
Mailing Address - Fax:
Practice Address - Street 1:3221 75TH AVE
Practice Address - Street 2:404
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-1915
Practice Address - Country:US
Practice Address - Phone:301-267-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA7640374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide