✓ CMS-Certified Home Health Care & Skilled Nursing Agency (364SH0200X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ABAYAKI HEALTHCARE SERVICES LLC (NPI #1912804550)

Clinical Nurse Specialist, Home Health • JOHNSTON, RI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1912804550
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
364SH0200X (CMS 89)
CMS-Certified Home Health Care & Skilled Nursing Agency
Box 32 Service Location & ZIP+4
24 ROCKCREST LN, JOHNSTON, RI, 02919-6069
✓ 9-Digit EDI 837 ZIP+4 (02919-6069)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912804550 (ABAYAKI HEALTHCARE SERVICES LLC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1912804550 (NPI-2 Organization / Facility)
Provider / Legal NameABAYAKI HEALTHCARE SERVICES LLC
Plain-English SpecialtyCMS-Certified Home Health Care & Skilled Nursing Agency
NUCC Code: 364SH0200X (Clinical Nurse Specialist, Home Health)
Certifying / Licensing BodyCMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address24 ROCKCREST LN, JOHNSTON, RI, 02919-6069
Practice Telephone / FaxTel: (401) 316-4772
Administrative Mailing Address24 ROCKCREST LN, JOHNSTON, RI, 02919-6069
Enumeration & Last SyncEnumerated: 2026-10-26 | CMS Record Updated: 2026-10-26
Authorized OfficialTUNDE AFOLABI (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

24 ROCKCREST LN, JOHNSTON, RI, 02919-6069

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Plain-English Taxonomy & CMS Crosswalk (364SH0200X)

What Does Taxonomy Code 364SH0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SH0200X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
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 (ABAYAKI HEALTHCARE SERVICES LLC)

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 DescriptionState License & Primary Status
364SH0200X — Clinical Nurse Specialist, Home Health
Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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