NPIMap

Organization Active NPI

Healthcare Living for Families

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
National Provider Identifier
1730427147
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
103663 Issued in MD
Legal business name
HEALTHCARE LIVING FOR FAMILIES
Practice address
3100 Lord Baltimore Drive
Suite 208
Windsor Mill, MD 21244
Phone
(410) 701-7384
Fax
(410) 521-7005
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Ademola Olasimbo
Title
Executive Director
Phone
(410) 701-7384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 103663 MD Primary

Addresses

Primary practice location

3100 Lord Baltimore Drive
Suite 208
Windsor Mill, MD 21244

Mailing address

3100 Lord Baltimore Drive
Suite 208
Windsor Mill, MD 21244
Phone (410) 701-7384

Other identifiers 1

IdentifierTypeStateIssuer
4204191 00MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Living for Families Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5602 Baltimore National Pike
Ste 603
Catonsville, MD 21228

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1730427147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 LORD BALTIMORE DRIVE",
            "address_2": "SUITE 208",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "410-701-7384",
            "fax_number": "410-521-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 LORD BALTIMORE DRIVE",
            "address_2": "SUITE 208",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "410-701-7384",
            "fax_number": "410-521-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE LIVING FOR FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "OLASIMBO",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-701-7384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "103663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4204191 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.