Active NPI
Life of Ressurection
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1376267187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE OF RESSURECTION
- Practice address
- 4415 Falls Rd
Baltimore, MD 21211-1330 - Phone
- (443) 381-5464
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Dickey
- Title
- Owner
- Phone
- (443) 381-5464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4415 Falls Rd
Baltimore, MD 21211-1330
Mailing address
4415 Falls Rd
Baltimore, MD 21211-1330
Phone (443) 381-5464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220812937 | Other | MD | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dawndickey7@gmail.com |
National Provider Directory
National Provider Directory- Tax ID family
- Life of Ressurection
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1780306381
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1669152203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1376267187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111330",
"telephone_number": "443-381-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111330",
"telephone_number": "443-381-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE OF RESSURECTION",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-23",
"status": "A",
"authorized_official_last_name": "DICKEY",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-381-5464"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "220812937",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dawndickey7@gmail.com",
"affiliation": "N",
"address_1": "4415 Falls Rd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212111330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
- Life Enhancement Specialist LLC (Pioneer Life Enhancement Services)
- Life Fitness Physical Therapy LLC
- Life Fitness Physical Therapy LLC
- Life Fitness Physical Therapy of Catonsville, LLC
- Life Fitness Physical Therapy of Eastpoint, LLC
- Life of Ressurection
- Life of Ressurection, LLC
- Life Renewal Services, Inc
- Life Renewal Services, Inc
- Life Span Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.