Healthcare Provider Details

I. General information

NPI: 1194442046
Provider Name (Legal Business Name): CARE ROYALE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7004 SECURITY BLVD STE 300
BALTIMORE MD
21244-2534
US

IV. Provider business mailing address

3805 KILBURN RD
RANDALLSTOWN MD
21133-4619
US

V. Phone/Fax

Practice location:
  • Phone: 667-200-8762
  • Fax: 443-222-9049
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BILIKISU ADEKANBI
Title or Position: OWNER
Credential:
Phone: 646-318-4816