Individual ProviderOluwakemi Omolade AmosuRegistered NurseNursing Service ProvidersPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616(202) 723-3060(202) 725-0259PECOS EnrollmentBased on the most recent information from CMS, provider Oluwakemi Omolade Amosu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1205184439Provider TypeIndividualFull NameAmosu, Oluwakemi OmoladeGenderFemaleSole ProprietorYesEnumeration Date8/20/2012Last Updated3/4/2019Contact InformationPractice LocationPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060FaxUnlisted FaxMailing LocationMailing Address5605 Newton St, Hyattsville, MD 20784-1124Phone(202) 725-0259FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1051578District of ColumbiaCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicenseLPN1006768District of ColumbiaCode374U00000XDescriptionHome Health AideNursing Service Related ProvidersLicenseHHA8304