Organization Active NPI

Saving Lives Center LLC

Doing business as Saving Lives Center Family Clinic

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1801378435
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R191391 Issued in MD
Legal business name
SAVING LIVES CENTER LLC
Doing business as
Saving Lives Center Family Clinic
Practice address
3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105
Phone
(240) 575-9940
Fax
(240) 575-9481
NPI assigned
Aug 30, 2018
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Oluwakemi Osidele, DNP, FNP-CNPI 1649649468
Title
Ceo
Phone
(240) 277-3768

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R191391 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105

Mailing address

3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105
Phone (240) 575-9940

Other practice location 1

211 S Jefferson St # 101
Frederick, MD 21701-6283
Phone (240) 582-1022

Other practice location 2

4235 Southern Ave
Capitol Heights, MD 20743-5767
Phone (240) 618-3104

Other identifiers 2

IdentifierTypeStateIssuer
1362453MedicaidMD
545071YZ2QMedicaidDC

Other names 1

  • Saving Lives Center Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181120001164 MD Part B Supplier - Clinic/Group Practice 7416201900 Receives reassigned benefits from 5 practitioners
Practice locations: Frederick, MD
O20220211001802 DC Part B Supplier - Clinic/Group Practice 7416201900 Receives reassigned benefits from 5 practitioners
Practice locations: Capitol Heights, MD

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
21D2154626Saving Lives Center Family Clinic3 Hillcrest Drive #A101, Frederick, MD 21703Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Saving Lives Center LLC3 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.

Locations

188 Thomas Johnson Dr
Ste 102
Frederick, MD 21702
Phone (240) 575-9940

211 S Jefferson St
Ste 101
Frederick, MD 21701
Phone (240) 582-1022

3 Hillcrest Dr
Ste A101
Frederick, MD 21703
Phone (240) 575-9940

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1801378435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HILLCREST DR STE A101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036105",
            "telephone_number": "240-575-9940",
            "fax_number": "240-575-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HILLCREST DR STE A101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036105",
            "telephone_number": "240-575-9940",
            "fax_number": "240-575-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S Jefferson St # 101",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016283",
            "country_code": "US",
            "telephone_number": "240-582-1022",
            "fax_number": "240-582-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207435767",
            "country_code": "US",
            "telephone_number": "240-618-3104",
            "fax_number": "240-627-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAVING LIVES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "OSIDELE",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-277-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191391",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1362453",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545071YZ2Q",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saving Lives Center Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.