Active NPI
Lives Savers LLC
- Urgent Care Clinic/Center
- Capitol Heights, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LIVES SAVERS LLC
- Practice address
- 4235 Southern Ave
Capitol Heights, MD 20743-5767 - Phone
- (240) 618-3104
- NPI assigned
- Feb 4, 2025
- Organization subpart
- Yes
- Parent organization
- LIVES SAVERS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oluwakemi Olubunmi Osidele
- Title
- President
- Phone
- (240) 575-9940
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4235 Southern Ave
Capitol Heights, MD 20743-5767
Mailing address
4235 Southern Ave
Capitol Heights, MD 20743-5767
Phone (240) 618-3104
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2318423 | Lives Savers Urgent Care Clinic | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider Directory- Part of
- Lives Savers LLC
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.
-
- Primary Care Nurse Practitioner
- Baltimore, MD
- NPI 1053186635
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1649649468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738627200000",
"number": "1770397366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SOUTHERN AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435767",
"telephone_number": "240-618-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 SOUTHERN AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435767",
"telephone_number": "240-618-3104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVES SAVERS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIVES SAVERS LLC",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A",
"authorized_official_last_name": "OSIDELE",
"authorized_official_first_name": "OLUWAKEMI",
"authorized_official_middle_name": "OLUBUNMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-575-9940"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.