Healthcare Provider Details

I. General information

NPI: 1053289801
Provider Name (Legal Business Name): FORTUNE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7532 STONEHOUSE RUN DR
GLEN BURNIE MD
21060-8468
US

IV. Provider business mailing address

7532 STONEHOUSE RUN DR
GLEN BURNIE MD
21060-8468
US

V. Phone/Fax

Practice location:
  • Phone: 443-876-2642
  • Fax:
Mailing address:
  • Phone: 443-876-2642
  • 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
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADEYEMI SAMUEL ALABI
Title or Position: PRESIDENT
Credential: MD
Phone: 443-876-2642