Organization Active NPI

Real Life Healthcare Systems Corporation

  • In Home Supportive Care Agency
  • Baltimore, MD
National Provider Identifier
1073222329
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REAL LIFE HEALTHCARE SYSTEMS CORPORATION
Practice address
8128 Pleasant Plains Rd
Baltimore, MD 21286-8324
Phone
(667) 367-3061
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Ralph Ayuk Etchu, DR.
Title
Ceo/Ao
Phone
(667) 367-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8128 Pleasant Plains Rd
Baltimore, MD 21286-8324

Mailing address

8128 Pleasant Plains Rd
Baltimore, MD 21286-8324
Phone (667) 367-3061

Other names 1

  • REAL LIFE HEALTHCARE SYSTEMS CORPORATION Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1073222329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 PLEASANT PLAINS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212868324",
            "telephone_number": "667-367-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 PLEASANT PLAINS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212868324",
            "telephone_number": "667-367-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE HEALTHCARE SYSTEMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "ETCHU",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "AYUK",
        "authorized_official_title_or_position": "CEO/AO",
        "authorized_official_telephone_number": "667-367-3061",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAL LIFE HEALTHCARE SYSTEMS CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 16, 2022; 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.