Rafael Residential Service Agency , LLC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

RAFAEL RESIDENTIAL SERVICE AGENCY , LLC

Practice address

622 Milford Mill Rd
Pikesville, MD 21208-5805

Phone

(410) 493-0572

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Noreen Koojo Kabahuma, MSN,RN,CNL,DN

Title

Administrator

Phone

(240) 452-9572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1700702206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MILFORD MILL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085805",
            "telephone_number": "410-493-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MILFORD MILL RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085805",
            "telephone_number": "410-493-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL RESIDENTIAL SERVICE AGENCY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "KABAHUMA",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "KOOJO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-452-9572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN,RN,CNL,DN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamari Elizabeth Puryear
• Sharon Mae Pusin, M.D,
• Joy Marie Quaintance, PSYCH. ASS.
• Teresita Rabago, RN
• Hannah M Radic
• Olivia Ragheb
• Samriti Rai
• Rainbow Adcc of Baltimore County
• Rainbow Adcc of Milbrook, LLC
• Rainbow Adcc of Montgomery County, LLC

• Administrator Registered Nurse in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Administrator Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.