NPIMap

Organization Active NPI

Healthy Lives

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1477067262
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HEALTHY LIVES
Practice address
1001 Pine Heights Ave Ste 303
Baltimore, MD 21229-5202
Phone
(443) 219-7901
Fax
(443) 835-2521
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Ahmein Watson, LCSW-C, LCADCNPI 1588938237
Title
Ceo
Phone
(443) 219-7901

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1001 Pine Heights Ave Ste 303
Baltimore, MD 21229-5202

Mailing address

1001 Pine Heights Ave Ste 303
Baltimore, MD 21229-5202
Phone (443) 219-7901

National Provider Directory

National Provider Directory
Tax ID family
Healthy Lives LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1504 Joh Ave
Ste 120
Halethorpe, MD 21227
Phone (443) 219-7901

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": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1477067262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295202",
            "telephone_number": "443-219-7901",
            "fax_number": "443-835-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295202",
            "telephone_number": "443-219-7901",
            "fax_number": "443-835-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AHMEIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-219-7901",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.