Provider Demographics
NPI:1447967591
Name:CITADEL OF HEALTHCARE LLC
Entity type:Organization
Organization Name:CITADEL OF HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLADAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLANIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-303-7339
Mailing Address - Street 1:521 E JOPPA RD STE 205
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1802
Mailing Address - Country:US
Mailing Address - Phone:443-653-9829
Mailing Address - Fax:
Practice Address - Street 1:521 E JOPPA RD STE 205
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1802
Practice Address - Country:US
Practice Address - Phone:443-374-2649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare