NPIMap

Organization Active NPI

Love Your Life Healthcare Inc

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1467720839
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOVE YOUR LIFE HEALTHCARE INC
Practice address
1628 11TH St NW
Washington, DC 20001-5011
Phone
(202) 232-4270
NPI assigned
Dec 13, 2011
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Olatunde OgunyemiNPI 1073839205
Title
Chief Executive Officer
Phone
(202) 232-4270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1628 11TH St NW
Washington, DC 20001-5011

Mailing address

1628 11TH St NW
Washington, DC 20001-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000502 DC Part B Supplier - Clinic/Group Practice 9638327059 Receives reassigned benefits from 8 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Love Your Life Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

333 Hawaii Ave NE
Washington, DC 20011
Phone (202) 232-4270

333 Hawaii Ave NE
Ste 100
Washington, DC 20011
Phone (202) 232-4270

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1467720839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 11TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 11TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015011",
            "telephone_number": "202-232-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE YOUR LIFE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "OGUNYEMI",
        "authorized_official_first_name": "OLATUNDE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-232-4270"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.