Healthcare Provider Details

I. General information

NPI: 1104755578
Provider Name (Legal Business Name): RESTFUL HAVEN CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E LOMBARD ST STE 840
BALTIMORE MD
21202-3231
US

IV. Provider business mailing address

2810 CRYDER WAY
YORKVILLE IL
60560-4614
US

V. Phone/Fax

Practice location:
  • Phone: 773-817-6407
  • Fax:
Mailing address:
  • Phone: 773-440-1972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MUJIDAT MOJISOLA ADEBAYO
Title or Position: RCM
Credential: RHIA
Phone: 773-440-1972