Salvation Life Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SALVATION LIFE INC

Practice address

10714 Marriottsville Rd
Randallstown, MD 21133-1312

Phone

(443) 226-8748

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Hezekiah Ilufoye

Title

Director

Phone

(443) 226-8748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1679120885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 MARRIOTTSVILLE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 MARRIOTTSVILLE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331312",
            "telephone_number": "443-226-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "ILUFOYE",
        "authorized_official_first_name": "HEZEKIAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-226-8748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Marie Rutka, PA-C
• Kathleen A Ryan, PA-C
• Paul N Sacks, LCADC
• Regina Sage, RN
• Arlene Joy Saks-Martin, LCSW-C, CCM
• Sheri Lynise Samuels
• Barbra Sangalang, PT
• Adrian Adam Sarzynski, M.D.
• Donna M Saunders, PSYCHOLOGIST
• Gail Savoie, LCSW-C

• Developmentally Disabled Services Day Training Agency in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.