Provider Demographics
NPI:1285033522
Name:OPEFUL HEART HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:OPEFUL HEART HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/BSN/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUBIMPE
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:AKINYELURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-280-2515
Mailing Address - Street 1:1011 ROHE FARM LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1532
Mailing Address - Country:US
Mailing Address - Phone:443-280-2515
Mailing Address - Fax:
Practice Address - Street 1:1011 ROHE FARM LN
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-1532
Practice Address - Country:US
Practice Address - Phone:443-280-2515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162184251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health