Organization Active NPI

Lotus Liberation, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1114638020
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOTUS LIBERATION, LLC
Practice address
822 Guilford Ave # 1808
Baltimore, MD 21202-3707
Phone
(667) 354-7079
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Anjana MuralidharanNPI 1144770355
Title
Owner
Phone
(667) 354-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

822 Guilford Ave # 1808
Baltimore, MD 21202-3707

Mailing address

822 Guilford Ave # 1808
Baltimore, MD 21202-3707
Phone (667) 354-7079

Other identifiers 1

IdentifierTypeStateIssuer
1144770355OtherNPPES

National Provider Directory

National Provider Directory

Locations

822 Guilford Ave
#1808
Baltimore, MD 21202
Phone (667) 354-7079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1114638020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE # 1808",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "667-354-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE # 1808",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "667-354-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LIBERATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "MURALIDHARAN",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-354-7079"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1144770355",
            "state": null
        }
    ],
    "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 Dec 30, 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.