NPIMap

Organization Active NPI

Restored Living LLC

  • Community/Behavioral Health Agency
  • Parkville, MD
National Provider Identifier
1336926112
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTORED LIVING LLC
Practice address
8424 Old Harford Rd Ste C3
Parkville, MD 21234-4900
Phone
(410) 882-1715
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Okpenze Felicia Ballard, PMHNP
Title
President/Ceo
Phone
(917) 378-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8424 Old Harford Rd Ste C3
Parkville, MD 21234-4900

Mailing address

8424 Old Harford Rd Suite C3
Parkville, MD 21234-4900
Phone (917) 378-2269

National Provider Directory

National Provider Directory
Tax ID family
Restored Living LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8424 Old Harford Rd
Ste 3C
Parkville, MD 21234
Phone (410) 882-1715

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1336926112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 OLD HARFORD RD SUITE C3",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344900",
            "telephone_number": "917-378-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 OLD HARFORD RD STE C3",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344900",
            "telephone_number": "410-882-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "OKPENZE",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "917-378-2269",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.