IndividualActive
Olanrewaju Awofeso
NPI 1336622141 · Nursing Home Administrator · Tyler, TX
Provider details
- NPI number
- 1336622141
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9367 (TX)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2818 Shady Ln
Tyler, TX 75702-7745
Phone: (210) 264-9748
Street-level locationGet directions
Mailing address
2818 Shady Ln
Tyler, TX 75702-7745
Registry dates
- Enumerated
- 2018-09-09
- Last updated
- 2018-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.