Lotus Behavioral Health and Rehabilitation Services Inc.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.

Practice address

6426 Harrison Square
Glen Burnie, MD 21061

Phone

(215) 298-3770

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Nefertiti Amenra, MSW

Title

Ceo

Phone

(215) 298-3770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1255814422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 HARRISON SQ",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611811",
            "telephone_number": "267-495-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 HARRISON SQUARE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "215-298-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "AMENRA",
        "authorized_official_first_name": "NEFERTITI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-298-3770",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841664851",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Alisa Lombardo, MA, LGPC
• Allison Lomonosov
• Madison Long, PT, DPT
• Sarah Elizabeth Longo, P.A.
• Diana Lotter
• Lotus Vida Healing LLC
• Love & Kindness Home Health Care Inc
• Loving Helpers Healthcare Services Inc
• Gerard Lowder, M.D.
• Nicole Loza, RBT

• Behavior Technician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.