MEDICARE: TITOBILOLUWA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)
3	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1689446205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITOBILOLUWA LLC

Provider Business Mailing Address
First Line	:	618 ELLWOOD TERRACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3080
Country	:	US
Telephone Number	:	301-531-0009
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 ELLWOOD TERRACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3080
Country	:	US
Telephone Number	:	301-531-0009
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	OMOLARA OLUWASEUN OMOJOLA
Credential	:
Telephone Number	:	301-531-0009

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	09/02/2025

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