=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891551420
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONWARD HEALTHCARE SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2024
-----------------------------------------------------
Last Update Date | 02/21/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1332 LONDONTOWN BLVD STE 115F
-----------------------------------------------------
City | ELDERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21784-6590
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-224-4910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10802 WHITE TRILLIUM RD
-----------------------------------------------------
City | PERRY HALL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21128-9888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-224-4910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. OLUWOLE JOSHUA AKINYEDE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-224-4910
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------