Healthcare Provider Details

I. General information

NPI: 1225907124
Provider Name (Legal Business Name): FOLAKEMI H OGUNWEMIMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 D ST APT 2
LINCOLN NE
68502-1438
US

IV. Provider business mailing address

1411 D ST APT 2
LINCOLN NE
68502-1438
US

V. Phone/Fax

Practice location:
  • Phone: 402-217-8344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: