MEDICARE: SPHERE OF LOVE RESIDENTIAL SERVICE AGENCY

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1326907916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPHERE OF LOVE RESIDENTIAL SERVICE AGENCY

Provider Business Mailing Address
First Line	:	8 TROUT LILY CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4875
Country	:	US
Telephone Number	:	443-303-9694
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 TROUT LILY CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4875
Country	:	US
Telephone Number	:	443-303-9694
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MOBOLANLE O. BADEJO
Credential	:
Telephone Number	:	443-303-9694

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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