Healthcare Provider Details

I. General information

NPI: 1437928181
Provider Name (Legal Business Name): HEALTH ON WHEEL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MAIN ST
GREENSBORO MD
21639-1634
US

IV. Provider business mailing address

7760 LANDOVER RD
HYATTSVILLE MD
20785-2135
US

V. Phone/Fax

Practice location:
  • Phone: 302-985-2099
  • Fax: 301-798-9901
Mailing address:
  • Phone: 305-776-9911
  • Fax: 302-467-1136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. FOLORUNSO IBRAHEEM
Title or Position: PRESIDENT
Credential: MBBS, DNP
Phone: 305-776-9911