Organization Active NPI

Trulife Health Services

  • Adult Care Home Facility
  • Windsor Mill, MD
National Provider Identifier
1578706990
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
R2736P Issued in MD
Legal business name
TRULIFE HEALTH SERVICES
Practice address
2925 Lord Baltimore Dr Ste 200
Windsor Mill, MD 21244-2659
Phone
(410) 298-3431
Fax
(410) 298-3934
NPI assigned
Apr 15, 2009
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Alfred EzekwesiliNPI 1902478290
Title
Administrator
Phone
(410) 298-3431

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X R2736P MD Primary

Addresses

Primary practice location

2925 Lord Baltimore Dr Ste 200
Windsor Mill, MD 21244-2659

Mailing address

1502 Woodlawn Dr Ste 103
Woodlawn, MD 21207-4022
Phone (410) 298-3431

National Provider Directory

National Provider Directory

Locations

2925 Lord Baltimore Dr
Ste 200
Windsor Mill, MD 21244
Phone (410) 298-3431

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": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1578706990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WOODLAWN DR STE 103",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074022",
            "telephone_number": "410-298-3431",
            "fax_number": "410-298-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 200",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442659",
            "telephone_number": "410-298-3431",
            "fax_number": "410-298-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULIFE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "EZEKWESILI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-298-3431"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MD",
            "license": "R2736P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.