HEALTHY LIFE MEDICAL GROUP, INC (NPI# 1194018085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194018085 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIFE MEDICAL GROUP, INC |
| Practice Address |
9607 Reisterstown Rd Owings Mills MD 21117-4129 |
| Practice Telephone | 4109024770 |
| Practice Fax Number | 4109024779 |
| Mailing Telephone | 4109024770 |
| Mailing Fax Number | 4109024779 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MRS. ALINA MARGULIS (FACILITY MANAGER) |
| Authorized Official Telephone | 4109024770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
9607 REISTERSTOWN RD |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306319249 | Emily Skeberdis | Dietitian, Registered | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2019-01-03 |
| 1922576909 | Phyllis A Ray | Family Medicine | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2018-11-07 |
| 1407207418 | Joseph E Stapleton Jr. | Dietitian, Registered | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014098 | Maryland Pain and Spine Center, LLC | Clinic/Center | 844 Washington Rd Ste 207, Westminster, MD 21157-6664 | 2019-10-17 |
| 1285196295 | Xpress Medical Specialties, LLC | Clinic/Center | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-04-01 |
| 1710453808 | Young Ji Acupuncture Clinic | Clinic/Center | 3459 Saint Johns Ln Ste 9, Ellicott City, MD 21042-4026 | 2018-10-16 |
| 1447755178 | Legacy Spine and Pain, LLC | Clinic/Center | 10421 Motor City Dr # 342430, Bethesda, MD 20817-9996 | 2018-03-26 |
| 1164775979 | Potomac Healthcare Alliance | Clinic/Center | 198 Thomas Johnson Dr Ste 5, Frederick, MD 21702-4449 | 2012-10-17 |
| 1881917383 | Workwell Physicals Inc | Clinic/Center | 7711 Garrison Rd, Hyattsville, MD 20784-1756 | 2010-03-11 |
| 1548582877 | Alt. Medicine Inc. | Clinic/Center | 3201 Corporate Ct Fl 1, Ellicott City, MD 21042-2247 | 2010-03-01 |
| 1174853626 | Carlos S. Santiago IIi, Mdpc | Clinic/Center | 924 Seton Dr Ste 1, Cumberland, MD 21502-1851 | 2010-01-06 |
| 1295983997 | Qol Pain Management LLC. | Clinic/Center | 3102 N Hilton St, Baltimore, MD 21216-1450 | 2008-09-05 |
| 1174711949 | Surgery Centers of Delmarva, LLC | Clinic/Center | 101 Chesapeake Blvd, Suite C, Elkton, MD 21921-6313 | 2007-10-05 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on HEALTHY LIFE MEDICAL GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.