OLUBUKOLA AJAYI, RN — NPI 1205102332 (CMS-Certified Home Health Care & Skilled Nursing Agency in PAWTUCKET, RI)

CMS-1500 Box 24J / 33a • NPI

1205102332

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

374U00000X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

101 BACON ST, PAWTUCKET, RI, 02860-5542

✓ 9-Digit EDI 837 ZIP+4 (02860-5542)

Practice Phone & Referral Fax

(401) 722-3560

Fax: (401) 722-8522

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205102332 (OLUBUKOLA AJAYI, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205102332` (NPI-1 Individual Practitioner)
Provider / Legal Name	OLUBUKOLA AJAYI, RN
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `374U00000X` (Home Health Aide)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	101 BACON ST, PAWTUCKET, RI, 02860-5542
Practice Telephone / Fax	Tel: (401) 722-3560 \| Fax: (401) 722-8522
Administrative Mailing Address	101 BACON ST, PAWTUCKET, RI, 02860-5542
Enumeration & Last Sync	Enumerated: 2012-03-22 \| CMS Record Updated: 2012-03-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

101 BACON ST, PAWTUCKET, RI, 02860-5542

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Plain-English Taxonomy & CMS Crosswalk (374U00000X)

What Does Taxonomy Code 374U00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374U00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (OLUBUKOLA AJAYI, RN)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: RI \| License: `RN50459` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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OLUBUKOLA AJAYI, RN (NPI #1205102332)