MEDICARE: PRIMELIGHT CRADLE CARE SERVISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	315P00000X	Intellectual Disabilities Intermediate Care Facility
3	385H00000X	Respite Care
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1659215218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMELIGHT CRADLE CARE SERVISES

Provider Business Mailing Address
First Line	:	21 GREENVIEW DR
Second Line	:
City	:	SHREWSBURY
State	:	PA
Zip	:	17361-1240
Country	:	US
Telephone Number	:	443-857-7985
Fax Number	:	443-377-3228

Provider Business Practice Location Address
First Line	:	1319 WOODBRIDGE STATION WAY # 101A
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-3852
Country	:	US
Telephone Number	:	443-857-7985
Fax Number	:	443-377-3228

Authorized Official
Title or Position	:	CEO
Name	:	SHAKIRAT OLABISI AROWOROWON
Credential	:	AROWOROWON
Telephone Number	:	443-857-7975

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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