Healthcare Provider Details

I. General information

NPI: 1144133703
Provider Name (Legal Business Name): ROSES OF EDEN HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9560 JOHN LOCKE WAY
OWINGS MILLS MD
21117
US

IV. Provider business mailing address

3030 GREENMOUNT AVE STE 300
BALTIMORE MD
21218-6907
US

V. Phone/Fax

Practice location:
  • Phone: 240-997-9869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name: MISS PATRICIA DHLAKAMA
Title or Position: OWNER
Credential:
Phone: 240-997-9869