Healthcare Provider Details

I. General information

NPI: 1134062664
Provider Name (Legal Business Name): MY CARE MY CHOICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4323 WILD RYE ALY
BOYDS MD
20841-0048
US

IV. Provider business mailing address

4323 WILD RYE ALY
BOYDS MD
20841-0048
US

V. Phone/Fax

Practice location:
  • Phone: 240-480-3514
  • Fax:
Mailing address:
  • Phone: 240-480-3514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SAHEED OLAWALE SHITTU
Title or Position: OWNER/OPERATIONS DIRECTOR
Credential:
Phone: 240-480-3514