NPIMap

Organization Active NPI

Lifeline Incoporation

  • Adult Care Home Facility
  • Bladensburg, MD
National Provider Identifier
1679944094
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIFELINE INCOPORATION
Practice address
4203 58TH Ave
Bladensburg, MD 20710-1911
Phone
(301) 866-4115
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Rebecca Aborisade
Title
HHA
Phone
(301) 577-3395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4203 58TH Ave
Bladensburg, MD 20710-1911

Mailing address

4203 58TH Ave
Bladensburg, MD 20710
Phone (301) 866-4115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1679944094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 58TH AVE",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "20710",
            "telephone_number": "301-866-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 58TH AVE",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101911",
            "telephone_number": "301-866-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INCOPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "ABORISADE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "301-577-3395"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.