NPIMap

Organization Active NPI

Live to 100, LLC.

  • Community/Behavioral Health Agency
  • Aberdeen, MD
National Provider Identifier
1699515262
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVE TO 100, LLC.
Practice address
325 Kendrick Dr
Aberdeen, MD 21001-2352
Phone
(443) 787-8557
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Mr. Tyrone SherrodNPI 1265148316
Title
Ceo
Phone
(443) 787-8557

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

325 Kendrick Dr
Aberdeen, MD 21001-2352

Mailing address

325 Kendrick Dr
Aberdeen, MD 21001-2352
Phone (443) 787-8557

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1699515262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KENDRICK DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012352",
            "telephone_number": "443-787-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KENDRICK DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012352",
            "telephone_number": "443-787-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE TO 100, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-787-8557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.