Life Force for Older Americans

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LIFE FORCE FOR OLDER AMERICANS

Practice address

1869 Hawk CT
Severn, MD 21144-3114

Phone

(410) 240-4517

Fax

(610) 359-1117

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Victor Evereklian

Title

Ceo

Phone

(610) 356-1943

Specialties & licenses 1

Addresses

Tax ID family

Life Force Eldercare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Life Force for Older Americans

  • In Home Supportive Care Agency
  • Severn, MD
  • NPI 1245844190
  NPD tax ID
• Life Force for Older Americans, Inc.

  • Custodial Care Facility
  • Severn, MD
  • NPI 1033724786
  NPD tax ID

Locations

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1720692767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W CHESTER PIKE STE 216",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734107",
            "telephone_number": "610-356-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 HAWK CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443114",
            "telephone_number": "410-240-4517",
            "fax_number": "610-359-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FORCE FOR OLDER AMERICANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "EVEREKLIAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-356-1943"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lenkiewicz
• Lewis Mental Health Services
• Xavier Lawrence Lewis
• Nadine Liaw, R.PH
• Life Force for Older Americans
• Life Force for Older Americans, Inc.
• Life Support Clinical Counseling Service LLC
• Life Talk Therapy LLC
• Shelia Vann Lipscomb, LCPC
• Taisha Chalene Lockhart

• Custodial Care Facility in Severn, MD
• Providers in Severn, MD by specialty
• Custodial Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.