Active NPI
L.I.F.E., Inc.
- Adult Day Care Clinic/Center
- Eldersburg, MD
National Provider Identifier
1760827919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 30-027-A
- Legal business name
- L.I.F.E., INC.
- Practice address
- 2028 Liberty Rd
Eldersburg, MD 21784-6677 - Phone
- (410) 735-5433
- Fax
- (410) 814-7801
- NPI assigned
- May 1, 2013
- Organization subpart
- Yes
- Parent organization
- L.I.F.E., INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Charles Noto
- Title
- Executive Director
- Phone
- (410) 735-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 30-027-A | MD | Primary |
Addresses
Primary practice location
2028 Liberty Rd
Eldersburg, MD 21784-6677
Mailing address
2822 Hollins Ferry Rd
Baltimore, MD 21230-2956
Phone (410) 735-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 702205100 | Medicaid | MD |
Other names 1
- L.I.F.E. Adult Medical Day Care - Eldersburg
National Provider Directory
National Provider Directory- Tax ID family
- Life Inc
- Part of
- Life Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Baltimore, MD
- NPI 1588862627
Locations
2822 Hollins Ferry Rd
Baltimore, MD 21230
Phone (410) 735-5433
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Day Care Clinic/Center
- Baltimore, MD
- NPI 1588862627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367366400000",
"number": "1760827919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 HOLLINS FERRY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212302956",
"telephone_number": "410-735-5433",
"fax_number": "410-814-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 LIBERTY RD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846677",
"telephone_number": "410-735-5433",
"fax_number": "410-814-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L.I.F.E., INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "L.I.F.E., INC.",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A",
"authorized_official_last_name": "NOTO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "410-735-5433",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "MD",
"license": "30-027-A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "702205100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "L.I.F.E. Adult Medical Day Care - Eldersburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.