Healthcare Provider Details

I. General information

NPI: 1689588600
Provider Name (Legal Business Name): NEXTGEN CARE DYNAMICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 ROSE AVE APT C
PLEASANTON CA
94566-8205
US

IV. Provider business mailing address

437 ROSE AVE APT C
PLEASANTON CA
94566-8205
US

V. Phone/Fax

Practice location:
  • Phone: 925-577-6606
  • Fax:
Mailing address:
  • Phone: 925-577-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ENIOLA OLADEJO
Title or Position: OWNER
Credential: LVN
Phone: 925-577-6606