NPIMap

Organization Active NPI

Supportivie Thriving Altruistic Reliable Living LLC

Doing business as S.T.A.R Living

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1669053039
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPPORTIVIE THRIVING ALTRUISTIC RELIABLE LIVING LLC
Doing business as
S.T.A.R Living
Practice address
5610 Plymouth Rd
Baltimore, MD 21214-1530
Phone
(718) 810-8626
NPI assigned
Apr 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Authorized official

Name
Saidah SaundersNPI 1316137474
Title
Ceo
Phone
(718) 810-8626

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5610 Plymouth Rd
Baltimore, MD 21214-1530

Mailing address

5610 Plymouth Rd
Baltimore, MD 21214-1530

Other names 1

  • S.T.A.R Living Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1669053039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 PLYMOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 PLYMOUTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141530",
            "telephone_number": "718-810-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVIE THRIVING ALTRUISTIC RELIABLE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "SAIDAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-810-8626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.T.A.R Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2021; 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.