NPIMap

Organization Active NPI

Trulife Therapy Services

  • Home Health Agency
  • Woodlawn, MD
National Provider Identifier
1154765949
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3315 Issued in MD
Legal business name
TRULIFE THERAPY SERVICES
Practice address
1502 Woodlawn Dr
103
Woodlawn, MD 21207-4022
Phone
(410) 298-3431
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Alfred Ezekwesili
Title
Administrator
Phone
(410) 298-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3315 MD Primary

Addresses

Primary practice location

1502 Woodlawn Dr
103
Woodlawn, MD 21207-4022

Mailing address

1502 Woodlawn Dr
103
Woodlawn, MD 21207-4022
Phone (410) 298-3431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1154765949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WOODLAWN DR",
            "address_2": "103",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074022",
            "telephone_number": "410-298-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WOODLAWN DR",
            "address_2": "103",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074022",
            "telephone_number": "410-298-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULIFE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "EZEKWESILI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-298-3431"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.