Healthcare Provider Details

I. General information

NPI: 1215727391
Provider Name (Legal Business Name): AKAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 ADAMSON WAY
BOWIE MD
20716-1902
US

IV. Provider business mailing address

1556 ADAMSON WAY
BOWIE MD
20716-1902
US

V. Phone/Fax

Practice location:
  • Phone: 240-581-0979
  • Fax:
Mailing address:
  • Phone: 240-581-0979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TOLULOPE OLAONIPEKUN
Title or Position: CREDENTIALING AGENT
Credential:
Phone: 240-602-3175