MEDICARE: OLUWAKEMI ADEFILA FALADE

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	HHA11568	DC
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1427413053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWAKEMI ADEFILA FALADE

Provider Business Mailing Address
First Line	:	4213 OGLETHORPE ST APT 4
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20781-1540
Country	:	US
Telephone Number	:	240-779-6180
Fax Number	:

Provider Business Practice Location Address
First Line	:	4213 OGLETHORPE ST APT 4
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20781-1540
Country	:	US
Telephone Number	:	240-779-6180
Fax Number	:

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

Provider Enumeration Date	:	12/26/2015
Last Update Date	:	02/24/2026

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