Healthcare Provider Details

I. General information

NPI: 1407763832
Provider Name (Legal Business Name): OWENS SENIOR CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10989 RED RUN BLVD STE 109-111
OWINGS MILLS MD
21117-3283
US

IV. Provider business mailing address

508 MAGNOLIA RIDGE DR
JOPPA MD
21085-4348
US

V. Phone/Fax

Practice location:
  • Phone: 410-209-9887
  • Fax:
Mailing address:
  • Phone: 410-299-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANANA ALBRITTON
Title or Position: CONSULTANT
Credential:
Phone: 410-371-3213