ADEWOLE I. ADELEKE – NPI #1508429242
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

ADEWOLE ADELEKE is a community based residential treatment facility located in COUNTRY CLUB HILLS, IL. NPPES has assigned the NPI number 1508429242 to ADEWOLE ADELEKE on April 18, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Aug 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADEWOLE ADELEKE below.

NPI Profile for
ADEWOLE I. ADELEKE

NPI Number
1508429242
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ADEWOLE I. ADELEKE
Primary location
18041 THOMAS LN
COUNTRY CLUB HILLS, IL 60478-5065
Phone: (708) 914-4089 Fax:
Mailing address
3050 BOB O LINK RD
FLOSSMOOR, IL 60422-1420
Phone: (708) 351-9137 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.