NPIMap

Organization Active NPI

Life Force for Older Americans

  • In Home Supportive Care Agency
  • Severn, MD
National Provider Identifier
1245844190
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE FORCE FOR OLDER AMERICANS
Practice address
1869 Hawk CT
Severn, MD 21144-3114
Phone
(410) 240-4517
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Mr. Victor Evereklian
Title
Ceo
Phone
(610) 203-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1869 Hawk CT
Severn, MD 21144-3114

Mailing address

3544 W Chester Pike Ste 216
Newtown Square, PA 19073-4107
Phone (610) 356-1943

Other names 1

  • Life Force Eldercare Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Force Eldercare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1245844190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W CHESTER PIKE STE 216",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734107",
            "telephone_number": "610-356-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 HAWK CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443114",
            "telephone_number": "410-240-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FORCE FOR OLDER AMERICANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "EVEREKLIAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-203-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Force Eldercare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Life Force Eldercare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Severn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.