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

Wasiu A Omotayo

Individual provider Nursing Care Agency · NPI 1194618892

Wasiu A Omotayo is a Nursing Care Agency in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5414 W Villard Ave
Milwaukee, WI 53218-4224
Phone: (414) 241-2446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X (WI)
Nursing Care Agency Taxonomy 251J00000X

Record details

NPI number1194618892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2025
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026
Mailing address5414 W Villard Ave, Milwaukee, WI 53218-4224

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