OLUFUNMILAYO BALOGUN-VICTOR (NPI# 1245532027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245532027 |
| Entity Type | Individual |
| Full Name | OLUFUNMILAYO BALOGUN-VICTOR |
| Credential | RN |
| Practice Address |
3954 Stratford Rd Drexel Hill PA 19026-2723 |
| Practice Telephone | 4843585535 |
| Practice Fax Number | 4844618909 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN600719 | PA | Nursing Service Providers |
| Y | 251T00000X | PACE Provider Organization | RN600719 | PA | Agencies |
| Street Address |
3954 STRATFORD RD |
| City | DREXEL HILL |
| State | PA |
| Zip Code | 19026-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669924866 | Divine Supports Services | Nursing Care | 3954 Stratford Rd, Drexel Hill, PA 19026-2723 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541834 | Bridge To Better Home Health Care | In Home Supportive Care | 71 Drexelbrook Drive, Apartment 4, Drexel Hill, PA 19026 | 2019-04-24 |
| 1477918340 | Omo Passionate Home Healthcare, LLC | Home Health | 1206 Ormond Ave, Drexel Hill, PA 19026 | 2015-12-21 |
| 1477923753 | Gail White | Counselor | 3835 Berkley Ave, Drexel Hill, PA 19026 | 2015-09-30 |
| 1770991481 | Jodi Paisner | Counselor | 5060 State Road, 2nd Floor, Drexel Hill, PA 19026 | 2014-07-25 |
| 1477977247 | Cara M. Dyson-o'connor | Counselor | 401 Pilgrim Lane, Ste 103, Drexel Hill, PA 19026 | 2014-02-13 |
| 1790037810 | Careone Ambulance, LLC | Ambulance | 5201 Bella Vista Rd, Drexel Hill, PA 19026 | 2012-10-12 |
| 1144505785 | Sunny Home Care Agency | Home Health | 370 Lakeview Avenue, Drexel Hill, PA 19026 | 2011-10-14 |
| 1568746204 | Susan Christine Harrsch | Nurse Practitioner | 501 N. Landsdowne Ave, Maternity, Drexel Hill, PA 19026 | 2011-09-29 |
| 1215215652 | Anthony Jason Monteiro | Dentist | 5030 State Road #2-700, Drexel Hill, PA 19026 | 2011-08-03 |
| 1063700938 | Shameka Maria Sparrow | Counselor | Psych Choices of The Delaware Valley, 5060 State Rd, Drexel Hill, PA 19026 | 2011-07-13 |
| Find all providers in zip 19026 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279657 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 4401 Megargee St, Philadelphia, PA 19136-2160 | 2020-09-15 |
| 1871102731 | Bitner Counseling, LLC | PACE Provider Organization | 1 Northgate Sq Ste 215, Greensburg, PA 15601-1373 | 2020-07-27 |
| 1265919377 | Cozy Caregivers Homecare Agency | PACE Provider Organization | 5031 Baltimore Ave Apt 1, Philadelphia, PA 19143-1670 | 2018-07-20 |
| 1033618996 | Acts of Faith Corp | PACE Provider Organization | 2453 S 61st St, Philadelphia, PA 19142-3215 | 2018-02-06 |
| 1477949139 | Care At Home of Delaware Valley | PACE Provider Organization | 102 Center Mill Rd, Chadds Ford, PA 19317-9212 | 2015-04-09 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1851647796 | Albright Care Services | PACE Provider Organization | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1073802013 | Support for Independent Living, LLC | PACE Provider Organization | 2320 Haverford Rd, Suite 220, Ardmore, PA 19003-2913 | 2011-03-30 |
| 1023289147 | Phi Life | PACE Provider Organization | 1217 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2008-03-17 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| Find all providers with the same taxonomy | ||||
| City | DREXEL HILL |
| Zip Code | 19026 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.