NPIMap

Organization Active NPI

Restored Living Inc

  • Community/Behavioral Health Agency
  • Parkville, MD
National Provider Identifier
1558835843
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTORED LIVING INC
Practice address
3044 California Avenue
Parkville, MD 21234-4141
Phone
(917) 378-2269
NPI assigned
Jan 20, 2019
Last updated
Jan 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Authorized official

Name
Okpenze BallardNPI 1699552463
Title
Program Director
Phone
(917) 378-2269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3044 California Avenue
Parkville, MD 21234-4141

Mailing address

3044 California Avenue
Parkville, MD 21234-4141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1558835843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 CALIFORNIA AVENUE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 CALIFORNIA AVENUE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344141",
            "telephone_number": "917-378-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "OKPENZE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "917-378-2269"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.