Healthcare Provider Details

I. General information

NPI: 1447162367
Provider Name (Legal Business Name): PRIMELIGHT CRADLE CARE SERVISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 WOODBRIDGE STATION WAY
EDGEWOOD MD
21040-3852
US

IV. Provider business mailing address

21 GREENVIEW DR
SHREWSBURY PA
17361-1240
US

V. Phone/Fax

Practice location:
  • Phone: 223-254-9481
  • Fax:
Mailing address:
  • Phone: 443-857-7475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAKIRAT OLABISI AROWOROWON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 223-254-9481