Provider Demographics
NPI:1285456533
Name:OAMO LLC
Entity type:Organization
Organization Name:OAMO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OLAOLUWA
Authorized Official - Middle Name:AYOKA
Authorized Official - Last Name:OBATOYINBO
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:945-346-6277
Mailing Address - Street 1:10606 HASELWOOD LN # H10606
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1024
Mailing Address - Country:US
Mailing Address - Phone:945-346-6277
Mailing Address - Fax:945-346-6277
Practice Address - Street 1:10606 HASELWOOD LN # H10606
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1024
Practice Address - Country:US
Practice Address - Phone:945-346-6277
Practice Address - Fax:945-346-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty