Organization
HERO'S SHELTER INC.
Active
Other names
Badmus Insurance Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLUWAPELUMI OLUKOTUN BSN, MSHA, APRN, CCM (HEALTH SERVICES EXECUTIVE)
(571) 400-8461
Entity
Organization
Contact information
Practice address
3646 OCEAN RANCH BLVD, OCEANSIDE, CA 92056-2669
(571) 400-8461
Mailing address
PO BOX 558, SAN LUIS REY, CA 92068-0558
(571) 400-8461
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253J00000X
Foster Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999999
—
AK
05
—
999999999999
—
AR
05
—
999999999999
—
AZ
05
—
999999999999
—
CA
05
—
999999999999
—
CO
05
—
999999999999
—
CT
05
—
999999999999
—
DC
05
—
999999999999
—
DE
05
—
999999999999
—
FL
05
—
999999999999
—
HI
05
—
999999999999
—
IL
05
—
999999999999
—
IN
05
—
999999999999
—
MA
05
—
999999999999
—
MD
05
—
999999999999
—
MN
05
—
999999999999
—
MO
05
—
999999999999
—
NC
05
—
999999999999
—
NE
05
—
999999999999
—
NJ
05
—
999999999999
—
NV
05
—
999999999999
—
NY
05
—
999999999999
—
OH
05
—
999999999999
—
PA
05
—
999999999999
—
PR
05
—
999999999999
—
SC
05
—
999999999999
—
SD
05
—
999999999999
—
TN
05
—
999999999999
—
TX
05
—
999999999999
—
VA
05
—
999999999999
—
WV
05
—
9999999999999
—
VI
05
—
99999999999999
—
AK
Enumeration date
12/26/2014
Last updated
08/13/2020
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