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Organization
PELUMI BADMUS INS. AGENCY, LLC
Active
Organization
PELUMI BADMUS INS. AGENCY, LLC
Active
Parent organization
HERO'S SHELTER, INC.
Other names
VOGUE ASSURANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERO'S SHELTER, INC.
Authorized official
MS. OLUWAPELUMI OLUKOTUN BSN, MSHA, APRN, CCM (CERTIFIED CASE MANAGER)
(571) 400-8461
Entity
Organization
Contact information
Practice address
155 L STREET, NW, ( R.H TERRELL RECREATION CENTER), WASHINGTON, DC 20001
(571) 400-8461
Mailing address
PO BOX 558, SAN LUIS REY, CA 92068-0558
(571) 400-8461
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
4217575
—
251B00000X
Case Management Agency
4217575
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
4217575
—
251X00000X
Supports Brokerage Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
4217575
—
261QH0100X
Health Service Clinic/Center
—
—
305S00000X
Point of Service
4217575
—
332B00000X
Durable Medical Equipment & Medical Supplies
4217575
—
347C00000X
Private Vehicle
4217575
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999999
—
AL
05
—
999999999999
—
CA
05
—
999999999999
—
CO
05
—
999999999999
—
DC
05
—
999999999999
—
DE
05
—
999999999999
—
FL
05
—
999999999999
—
GA
05
—
999999999999
—
LA
05
—
999999999999
—
MD
05
—
999999999999
—
NC
05
—
999999999999
—
NY
05
—
999999999999
—
TX
05
—
999999999999
—
VA
Enumeration date
03/25/2017
Last updated
08/13/2020
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