Provider Demographics
NPI:1194442046
Name:CARE ROYALE INC
Entity type:Organization
Organization Name:CARE ROYALE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILIKISU
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEKANBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-318-4816
Mailing Address - Street 1:3805 KILBURN RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3805 KILBURN RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4619
Practice Address - Country:US
Practice Address - Phone:646-318-4816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251F00000XAgenciesHome Infusion
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility