Organization Active NPI

Lifeskills Autism Services

  • Licensed Practical Nurse
  • Largo, MD
National Provider Identifier
1457186959
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
LIFESKILLS AUTISM SERVICES
Practice address
1300 Mercantile LN Ste 129-5
Largo, MD 20774-5327
Phone
(240) 299-3987
Fax
(240) 764-6789
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Olivia Onyechi, LPN
Title
Administrator
Phone
(240) 299-3987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 129-5
Largo, MD 20774-5327

Mailing address

1300 Mercantile LN Ste 129-5
Largo, MD 20774-5327
Phone (240) 299-3987

National Provider Directory

National Provider Directory

Locations

1300 Mercantile Ln
Ste 1295
Upper Marlboro, MD 20774
Phone (240) 299-3987

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1457186959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-5",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "240-299-3987",
            "fax_number": "240-764-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-5",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "240-299-3987",
            "fax_number": "240-764-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ONYECHI",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-299-3987",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.