Provider Demographics
NPI:1144028242
Name:OLANIYI, TEMITOPE OLAFUSI (CEO)
Entity type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:OLAFUSI
Last Name:OLANIYI
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8397 VYNERS LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-0106
Mailing Address - Country:US
Mailing Address - Phone:317-459-1892
Mailing Address - Fax:
Practice Address - Street 1:8397 VYNERS LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-0106
Practice Address - Country:US
Practice Address - Phone:317-459-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN24-016568-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health