NPIMap

Organization Active NPI

Life of Ressurection

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1780306381
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE OF RESSURECTION
Practice address
4415 Falls Rd
Baltimore, MD 21211-1330
Phone
(443) 381-5464
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dawn Dickey
Title
Owner
Phone
(443) 690-8029

Specialties & licenses 1

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

Addresses

Primary practice location

4415 Falls Rd
Baltimore, MD 21211-1330

Mailing address

4415 Falls Rd
Baltimore, MD 21211-1330
Phone (443) 381-5464

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dawndickey7@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Life of Ressurection3 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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1780306381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111330",
            "telephone_number": "443-381-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111330",
            "telephone_number": "443-381-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OF RESSURECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-690-8029"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dawndickey7@gmail.com",
            "affiliation": "N",
            "address_1": "4415 Falls Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212111330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.