National Provider Identifier Database

PRIMELIGHT CRADLE CARE SERVISES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

PRIMELIGHT CRADLE CARE SERVISES
1319 WOODBRIDGE STATION WAY # 101A
EDGEWOOD, MD21040-3852
Phone: 443-857-7985
Fax: 443-377-3228
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Home Health 251E00000X
Intermediate Care Facility, Mentally Retarded 315P00000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for PRIMELIGHT CRADLE CARE SERVISES

NPI Number 1659215218
Legal business name
LBN
PRIMELIGHT CRADLE CARE SERVISES
Authorized official SHAKIRAT AROWOROWON - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 04/15/2026
Last updated 04/15/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRIMELIGHT CRADLE CARE SERVISES

There are currently no reviews for PRIMELIGHT CRADLE CARE SERVISES


NPIdb - Home
v2.201