Organization Active NPI

Quality of Life Home

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1114679776
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
QUALITY OF LIFE HOME
Practice address
5217 1/2 York Rd
Baltimore, MD 21212-4219
Phone
(667) 910-0303
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Lenea Rogers-Sampson
Title
Ceo
Phone
(443) 248-2027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

5217 1/2 York Rd
Baltimore, MD 21212-4219

Mailing address

5412 Gerland Ave
Baltimore, MD 21206-4330
Phone (443) 248-2027

National Provider Directory

National Provider Directory
Tax ID family
Quality of Life Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1114679776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 GERLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064330",
            "telephone_number": "443-248-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 1/2 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124219",
            "telephone_number": "667-910-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ROGERS-SAMPSON",
        "authorized_official_first_name": "LENEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-248-2027"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 25, 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.