MEDICARE: ROCK OF AGES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1235081951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCK OF AGES INC

Provider Business Mailing Address
First Line	:	9635 BIGGS RD
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-3789
Country	:	US
Telephone Number	:	443-251-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	9635 BIGGS RD
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-3789
Country	:	US
Telephone Number	:	443-251-8497
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HAPPINESS CHIDINMA OTUEKERE
Credential	:
Telephone Number	:	443-251-8497

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

Similar Medicare Providers

1023873148 — OPEN HAND HEALTHCARE SERVICES INC
Practice Location Address:

9635 BIGGS RD
MIDDLE RIVER, MD
21220-3789

Practice Phone: 443-251-8497
Practice Fax:

1194515635 — NYLA ROBINSON
Practice Location Address:

9625 BIGGS RD
BALTIMORE, MD
21220-3789

Practice Phone: 443-882-3025
Practice Fax:

1386859346 — MARY E PFOTZER-GREENWOOD LMT
Practice Location Address:

3789 RIVER RD N STE D
KEIZER, OR
97303-4825

Practice Phone: 503-856-9519
Practice Fax:

1932316700 — DR. DEB HIRABAI D.C.
Practice Location Address:

3789 RIVER RD N STE B
KEIZER, OR
97303-4825

Practice Phone: 360-255-1414
Practice Fax:

1881894426 — CHERYL MCKENZIE LMT, CNMT, NCTMB
Practice Location Address:

3789 RIVER RD N , SUITE D
KEIZER, OR
97303-4825

Practice Phone: 503-856-9519
Practice Fax:

1942490651 — JERRIE LEE PARPART LMT
Practice Location Address:

3789 RIVER RD N , SUITE D
KEIZER, OR
97303-4825

Practice Phone: 503-856-9519
Practice Fax:

Directions to “ROCK OF AGES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.