Family Life Foundation Incorporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FAMILY LIFE FOUNDATION INCORPORATION

Practice address

11721 Reisterstown Rd
Reisterstown, MD 21136-3320

Phone

(443) 405-3744

Fax

(443) 405-3778

NPI assigned

Feb 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Adebodun Owolabi

Title

Ceo

Phone

(443) 985-7590

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family lIfe Foundation Inc Other name

Tax ID family

Family Life Foundation Incorporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Life Foundation Incorporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Reisterstown, MD
  • NPI 1316441223
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1043917560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363320",
            "telephone_number": "443-405-3744",
            "fax_number": "443-405-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 REISTERSTOWN RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363320",
            "telephone_number": "443-405-3744",
            "fax_number": "443-405-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE FOUNDATION INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ADEBODUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-985-7590"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "5766138000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5766138000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family lIfe Foundation Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evision Mental Health Services LLC
• Excel Healthcare Solution
• Faith, Hope, and Love Midwifery Services, LLC
• Family Affair Care, LLC
• Family Guidance Services
• Family Life Foundation Incorporation
• Family Podiatry of Maryland, LLC
• Nia Subira Faulkner
• Aylene Feinstein
• Find a Way, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.