Healthcare Provider Details

I. General information

NPI: 1659292597
Provider Name (Legal Business Name): GOLDEN CREST CARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 MONTWOOD ROD
WINDSOR MILL MD
21244
US

IV. Provider business mailing address

7901 MONTWOOD ROD
WINDSOR MILL MD
21244
US

V. Phone/Fax

Practice location:
  • Phone: 443-825-5006
  • Fax:
Mailing address:
  • Phone: 443-825-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. OLABODE MUSIBAU QUADRI
Title or Position: CEO
Credential: CEO
Phone: 443-825-5006