NPIMap

Organization Active NPI

Enriching Lives Support Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1548903552
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ENRICHING LIVES SUPPORT SERVICES INC
Practice address
5109 York Rd
Baltimore, MD 21212-4399
Phone
(443) 332-5777
NPI assigned
Apr 18, 2022
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Jaquisa Nash
Title
Owner
Phone
(443) 722-6116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

5109 York Rd
Baltimore, MD 21212-4399

Mailing address

911 W 36TH St Ste 2&7
Baltimore, MD 21211-2445
Phone (443) 322-5777

Other practice location 1

911 W 36th St Ste 2&7
Baltimore, MD 21211-2445
Phone (443) 322-5777

Other practice location 2

4925 Belair Rd
Baltimore, MD 21206-5648
Phone (443) 332-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.ENRICHINGLIVESSUPPORTSERVICES.COM Direct

National Provider Directory

National Provider Directory
Tax ID family
Enriching Lives Support Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

911 W 36th St
Baltimore, MD 21211
Phone (410) 258-0519

911 W 36th St
Ste 27
Baltimore, MD 21211
Phone (443) 322-5777

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1548903552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W 36TH ST STE 2&7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112445",
            "telephone_number": "443-322-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124399",
            "telephone_number": "443-332-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W 36th St Ste 2&7",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112445",
            "country_code": "US",
            "telephone_number": "443-322-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4925 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212065648",
            "country_code": "US",
            "telephone_number": "443-332-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENRICHING LIVES SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "JAQUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-722-6116"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.ENRICHINGLIVESSUPPORTSERVICES.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "911 W 36th St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212112445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 19, 2026; 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.