Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GBENGA OMOTAYO
Active Sole ProprietorGBENGA OMOTAYO is a In Home Supportive Care Agency healthcare provider located in WINDER, Georgia. NPI 1982568606 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · WINDER, GA
Registration Details
- NPI Number
- 1982568606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2025 (0.68158158748329 yrs)
- Last Updated
- Dec 16, 2025
- License
-
PHCP044197 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
252 BLUE IRIS CTWINDER, GA, 306804389Browse GA providers · Browse ZIP 30680
- Phone
- 4049897102
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in WINDER, GA
| Name | Credential | NPI |
|---|---|---|
| CHASITY ELLIS | — | 1336941590 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.