NPIMap

Organization Active NPI

Life Bridge Health

  • Long Term Care Hospital
  • Silver Spring, MD
National Provider Identifier
1356763767
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
C0005298 Issued in MD
Legal business name
LIFE BRIDGE HEALTH
Practice address
1909 Olivine CT
Silver Spring, MD 20904-5323
Phone
(240) 476-1069
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Daniel Tsige Tamerat
Title
PA-C
Phone
(240) 476-1069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X C0005298 MD Primary

Addresses

Primary practice location

1909 Olivine CT
Silver Spring, MD 20904-5323

Mailing address

1909 Olivine CT
Silver Spring, MD 20904-5323
Phone (240) 476-1069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1356763767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 OLIVINE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045323",
            "telephone_number": "240-476-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 OLIVINE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045323",
            "telephone_number": "240-476-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BRIDGE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "TAMERAT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TSIGE",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "240-476-1069"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MD",
            "license": "C0005298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.