NPIMap

Organization Active NPI

Lead4Life, Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1609423359
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEAD4LIFE, INC.
Practice address
145 W Ostend St FL 6
Baltimore, MD 21230-3764
Phone
(301) 672-4319
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Jennifer M GauthierNPI 1912142753
Title
Ceo Executive Director
Phone
(301) 672-4319

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

145 W Ostend St FL 6
Baltimore, MD 21230-3764

Mailing address

145 W Ostend St FL 6
Baltimore, MD 21230-3764
Phone (301) 672-4319

Other identifiers 1

IdentifierTypeStateIssuer
201507200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Baltimore

National Provider Directory

National Provider Directory
Tax ID family
Lead4Life Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

145 W Ostend St
Fl 6
Baltimore, MD 21230

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1609423359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303764",
            "telephone_number": "301-672-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303764",
            "telephone_number": "301-672-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD4LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-672-4319"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201507200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "address_1": "145 W Ostend St Fl 6",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212303764",
            "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 Aug 19, 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.