NPIMap

Organization Active NPI

Restored Living LLC

  • Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1992525679
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RESTORED LIVING LLC
Practice address
2484 Old Harford Rd
2484 Old Harford Rd
Parkville, MD 21234
Phone
(410) 882-1715
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Okpenze Felicia Ballard, PMHNP
Title
Ceo
Phone
(917) 378-2269

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2484 Old Harford Rd
2484 Old Harford Rd
Parkville, MD 21234

Mailing address

3044 California Ave
Parkville, MD 21234-4141
Phone (917) 378-2269

National Provider Directory

National Provider Directory
Tax ID family
Restored Living LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1992525679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 CALIFORNIA AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344141",
            "telephone_number": "917-378-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 OLD HARFORD RD",
            "address_2": "2484 OLD HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-882-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "OKPENZE",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-378-2269",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.