Livelycare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIVELYCARE

Doing business as

Livelycare
Owner

Practice address

4401 Flowerton Rd
Baltimore, MD 21229-1510

Phone

(443) 683-3025

NPI assigned

Apr 15, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Hilda Ardella LivelyNPI 1477799245

Title

Owner

Phone

(443) 683-3025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Livelycare Doing business as
• Owner Doing business as

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilda Ardella Lively, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1477799245
  Medicare reassignment NPD Authorized official
• Robin Buckner

  • Registered Nurse
  • Baltimore, MD
  • NPI 1588256796
  NPD

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1376286674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FLOWERTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291510",
            "telephone_number": "443-683-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FLOWERTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291510",
            "telephone_number": "443-683-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "ARDELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-683-3025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T082720220000017",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HILDY57@COMCAST.NET",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 Flowerton Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212291510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HILDY57@COMCAST.NET",
            "affiliation": "N",
            "endpointDescription": "business account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 Flowerton Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212291510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 Flowerton Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212291510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Livelycare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Live & Not Die Outreach Ministries
• Live Long and Healthyllc
• Live With Ease Wellness LLC
• Hilda Ardella Lively, FNP-BC
• Nicole Lively
• Sadie Liverette
• Stephen A Liverman, M.D.
• Ramelle Aziza Liverpool, LCSW-C
• Lives Savers LLC (Lives Savers Urgent Care Clinic)
• Christine Livesay, RDH

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.