MEDICARE: FALILAT ADEYINKA OMOLABI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1013289644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALILAT ADEYINKA OMOLABI

Provider Business Mailing Address
First Line	:	7600 GEORGIA AVE NW
Second Line	:	SUITE 323
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1616
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

Provider Business Practice Location Address
First Line	:	40 GALVESTON ST SW APT 102
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1914
Country	:	US
Telephone Number	:	202-489-7413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	01/06/2026

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