NPIMap

Organization Active NPI

Life Renewal Services, Inc.

  • Rehabilitation Clinic/Center
  • Westminster, MD
National Provider Identifier
1942632682
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIFE RENEWAL SERVICES, INC.
Practice address
247-249 East Main Street
Westminster, MD 21157-5228
Phone
(443) 289-8149
Fax
(443) 821-3280
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Mr. Dan Nieberding, LCPC
Title
Policy & Communications Specialist
Phone
(717) 524-6187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

247-249 East Main Street
Westminster, MD 21157-5228

Mailing address

PO Box 865
Westminster, MD 21158-0865

National Provider Directory

National Provider Directory
Tax ID family
Life Renewal Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1942632682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247-249 EAST MAIN STREET",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575228",
            "telephone_number": "443-289-8149",
            "fax_number": "443-821-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RENEWAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "NIEBERDING",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "POLICY & COMMUNICATIONS SPECIALIST",
        "authorized_official_telephone_number": "717-524-6187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.