Active NPI
Selfless Life, LLC
- Personal Care Attendant
- Baltimore, MD
National Provider Identifier
1023796992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- SELFLESS LIFE, LLC
- Practice address
- 2110 Pennsylvania Ave
Baltimore, MD 21217-2820 - Phone
- (443) 770-6579
- NPI assigned
- Jul 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saisha Williams
- Title
- Director of Staffing
- Phone
- (410) 805-6181
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Technician | 374700000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
2110 Pennsylvania Ave
Baltimore, MD 21217-2820
Mailing address
1301 York Rd Ste 800
Timonium, MD 21093-6011
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1023796992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 YORK RD STE 800",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210936011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 PENNSYLVANIA AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212172820",
"telephone_number": "443-770-6579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELFLESS LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SAISHA",
"authorized_official_title_or_position": "DIRECTOR OF STAFFING",
"authorized_official_telephone_number": "410-805-6181"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.