Organization Active NPI

Rock of Ages Care Services LLC

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1932614112
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROCK OF AGES CARE SERVICES LLC
Practice address
13 C St Ste B
Laurel, MD 20707-4152
Phone
(202) 258-5673
NPI assigned
Dec 9, 2017
Last updated
Dec 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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

Authorized official

Name
Damilola OlofinluaNPI 1184163222
Title
Director / Owner
Phone
(202) 258-5673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

13 C St Ste B
Laurel, MD 20707-4152

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512777600000",
    "number": "1932614112",
    "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": "13 C ST STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074152",
            "telephone_number": "202-258-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK OF AGES CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A",
        "authorized_official_last_name": "OLOFINLUA",
        "authorized_official_first_name": "DAMILOLA",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "202-258-5673"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; 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.