NPIMap

Organization Active NPI

Lifespan Home Wellness, LLC

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1306297668
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05356 Issued in MD
Legal business name
LIFESPAN HOME WELLNESS, LLC
Practice address
5615 Ashburn Ter
Frederick, MD 21703-9491
Phone
(555) 555-5555
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Aisha Abdul-Samad
Title
Ms, CCC-SLP
Phone
(443) 306-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05356 MD Primary

Addresses

Primary practice location

5615 Ashburn Ter
Frederick, MD 21703-9491

Mailing address

5615 Ashburn Ter
Frederick, MD 21703-9491
Phone (443) 306-9406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1306297668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 ASHBURN TER",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217039491",
            "telephone_number": "443-306-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 ASHBURN TER",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217039491",
            "telephone_number": "555-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HOME WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "ABDUL-SAMAD",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "MS, CCC-SLP",
        "authorized_official_telephone_number": "443-306-9406"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "05356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.