Cynosure Healthcare Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CYNOSURE HEALTHCARE SERVICES LLC

Practice address

9810 Sherwood Farm Rd
Owings Mills, MD 21117-5854

Phone

(347) 425-6460

NPI assigned

Apr 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rawkeeb Adeola Sobowale

Title

C.E.O

Phone

(347) 425-6460

Specialties & licenses 1

Addresses

Other names 1

• Cynosure Healthcare Services LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1083301097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 SHERWOOD FARM RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175854",
            "telephone_number": "347-425-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 SHERWOOD FARM RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175854",
            "telephone_number": "347-425-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNOSURE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "SOBOWALE",
        "authorized_official_first_name": "RAWKEEB",
        "authorized_official_middle_name": "ADEOLA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "347-425-6460"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynosure Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.