Life Bridge Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE BRIDGE HOME HEALTH

Practice address

8830 Orchard Tree LN
Towson, MD 21286-2143

Phone

(443) 622-4991

Fax

(410) 435-4633

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Rawls

Title

Ceo

Phone

(443) 622-4991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1831476456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 AIRLIE WAY",
            "address_2": "SUITE L",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391049",
            "telephone_number": "443-622-4991",
            "fax_number": "410-435-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 ORCHARD TREE LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862143",
            "telephone_number": "443-622-4991",
            "fax_number": "410-435-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BRIDGE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-622-4991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Life Solutions Therapy, LLC
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• Home Health Agency in Towson, MD
• Providers in Towson, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.