NPIMap

Organization Active NPI

Rock of Ages Care Services LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1295515641
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ROCK OF AGES CARE SERVICES LLC
Practice address
400 W Saratoga St FL 1
Baltimore, MD 21201-1818
Phone
(202) 258-5673
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mrs. Damilola Olofinlua, LCPC
Title
Owner
Phone
(202) 258-5673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

400 W Saratoga St FL 1
Baltimore, MD 21201-1818

Mailing address

13 C St Ste B
Laurel, MD 20707-4152
Phone (202) 258-5673

Other names 1

  • Hope Alive Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rock of Ages Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 W Saratoga St
Fl 1
Baltimore, MD 21201
Phone (202) 258-5673

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1295515641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 C ST STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074152",
            "telephone_number": "202-258-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SARATOGA ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011818",
            "telephone_number": "202-258-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK OF AGES CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "OLOFINLUA",
        "authorized_official_first_name": "DAMILOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-258-5673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Alive Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.