Healthcare Provider Details

I. General information

NPI: 1386548469
Provider Name (Legal Business Name): BLUECREST HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 GOLF COURSE DR
BOWIE MD
20721-3143
US

IV. Provider business mailing address

1616 GOLF COURSE DR
BOWIE MD
20721-3143
US

V. Phone/Fax

Practice location:
  • Phone: 240-486-3351
  • Fax:
Mailing address:
  • Phone: 240-486-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLAWALE DAVID ABOLAJI
Title or Position: PRESIDENT
Credential:
Phone: 240-486-3351