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Samuel Olukunle Oluwole
In Home Supportive Care Agency in La Vergne, Tennessee
NPI 1811636616

Samuel Olukunle Oluwole is a In Home Supportive Care Agency based in La Vergne, TN. Samuel Olukunle Oluwole practices in La Vergne, TN. The NPI Number for Samuel Olukunle Oluwole is 1811636616 and holds a License No. (Tennessee).

The current practice location address for Samuel Olukunle Oluwole is 102 Olivia Ct, La Vergne, TN and can be reached out via phone at 615-732-3415 and via fax at 615-732-8954.

Location: 102 Olivia Ct, La Vergne, TN, 37086-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811636616
Provider Name
Samuel Olukunle Oluwole
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Olivia Ct, La Vergne, TN, 37086-4504
Phone Number
615-732-3415
Fax Number
615-732-8954
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
86-3482472 01 TN 86-3482472
institution
Provider Business Practice Location Address Details
Address
102 Olivia Ct
City
La Vergne
State
Tennessee
Zip
37086-4504
Phone Number
615-732-3415
Fax Number
615-732-8954
person
Provider Business Mailing Address Details
Address
102 Olivia Ct
City
La Vergne
State
Tennessee
Zip
37086-4504
Phone Number
615-732-3415
Fax Number
615-732-8954
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Tennessee)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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