Organization Active NPI

Lives Savers LLC

  • Urgent Care Clinic/Center
  • Capitol Heights, MD
National Provider Identifier
1770397366
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Oluwakemi Olubunmi OsideleNPI 1649649468
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2318423Lives Savers Urgent Care Clinic4235 Southern Ave, Capitol Heights, MD 20743Certificate of waiverFeb 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.

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": "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.

Verify at the official NPI Registry.