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GRACE RESIDENTIAL SERVICES, LLC
NPI 1033675897
Clinic/Center - Developmental Disabilities in Owings Mills, MD

Active since February 18, 2019
4117 BROOKSIDE OAKS ROAD, OWINGS MILLS, MD 21117(443) 677-7130 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Residential Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE RESIDENTIAL SERVICES, LLC (NPI 1033675897) is a healthcare organization registered as a developmental disabilities in Owings Mills, Maryland and active in the NPI registry since February 2019. The organization lists Omolara O Adeola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033675897
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameGRACE RESIDENTIAL SERVICES, LLC
Location Address4117 BROOKSIDE OAKS ROADOwings Mills, MD 21117
Mailing Address4117 Brookside Oaks RoadOwings Mills, MD 21117 · (443) 677-7130
Phone(443) 677-7130
Organization SubpartNo
Authorized OfficialOmolara O AdeolaCeo · (443) 677-7130
Enumeration DateFebruary 18, 2019
✔ NPI 1033675897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

4117 BROOKSIDE OAKS ROAD, Owings Mills, MD 21117
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Other Identifiers 1

Medicaid122456MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Residential Services, LLC's NPI number?

The NPI number for Grace Residential Services, LLC is 1033675897. It was assigned to this organization in the NPPES registry on February 18, 2019.

Where is Grace Residential Services, LLC located?

Grace Residential Services, LLC is located at 4117 Brookside Oaks Road, Owings Mills, MD 21117. The listed phone number is (443) 677-7130.

What is Grace Residential Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Grace Residential Services, LLC was last updated on February 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.