Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gbenga Omotayo

Individual provider In Home Supportive Care Agency · NPI 1982568606

Gbenga Omotayo is an In Home Supportive Care Agency in Winder, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

252 Blue Iris Ct
Winder, GA 30680-4389
Phone: (404) 989-7102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence PHCP044197 (GA)

Record details

NPI number1982568606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address252 Blue Iris Ct, Winder, GA 30680-4389

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