Organization Active NPI

A.L.I.V.E. LLC

Doing business as Country Lane Assisted Living

  • Assisted Living Facility
  • Ellicott City, MD
National Provider Identifier
1609675172
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A.L.I.V.E. LLC
Doing business as
Country Lane Assisted Living
Ridge Road Assisted Living
Practice address
2839 Country LN
Ellicott City, MD 21042-2566
Phone
(443) 852-4424
Fax
(443) 852-4424
NPI assigned
Mar 10, 2025
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Treva Pitts
Title
Owner
Phone
(443) 852-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2839 Country LN
Ellicott City, MD 21042-2566

Mailing address

2839 Country LN
Ellicott City, MD 21042-2566
Phone (443) 852-4424

Other practice location 1

28928 Ridge Rd
Mount Airy, MD 21771-4433
Phone (443) 852-4424

Other names 2

  • Country Lane Assisted Living Doing business as
  • Ridge Road Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1609675172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 COUNTRY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422566",
            "telephone_number": "443-852-4424",
            "fax_number": "443-852-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 COUNTRY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422566",
            "telephone_number": "443-852-4424",
            "fax_number": "443-852-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28928 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217714433",
            "country_code": "US",
            "telephone_number": "443-852-4424",
            "fax_number": "443-852-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A.L.I.V.E. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "TREVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-852-4424"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Lane Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridge Road Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.