LIFE CENTERS OF AMERICA LLC (NPI# 1477894202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477894202 |
| Entity Type | Organization |
| Organization Name | LIFE CENTERS OF AMERICA LLC |
| Practice Address |
8509 Harford Rd Parkville MD 21234 |
| Mailing Address |
8509 Harford Rd Parkville MD 21234-4619 |
| Practice Telephone | 4438196350 |
| Mailing Telephone | 4104974514 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | MR. JOSIAH MALIK JACKSON (VICE - PRESIDENT) |
| Authorized Official Telephone | 4434738876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1410 Bush St, Suite A, Baltimore, MD 212301939 | 4438044405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293124 | Life Centers of America LLC | Clinic/Center | 8509 Harford Rd, Parkville, MD 21234-4619 | 2019-03-11 |
| Street Address |
8509 HARFORD RD |
| City | PARKVILLE |
| State | MD |
| Zip Code | 21234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293124 | Life Centers of America LLC | Clinic/Center | 8509 Harford Rd, Parkville, MD 21234-4619 | 2019-03-11 |
| 1073978847 | Dipaula Dentistry | Dentist | 8509 Harford Rd, Parkville, MD 21234-4619 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710507355 | All American Home Care and Prp Services Inc. | Clinic/Center | 8511 Harford Rd Ste C, Parkville, MD 21234-4670 | 2020-04-23 |
| 1699882555 | Synergy Services Inc | Clinic/Center | 400 E 6th St, Parkville, MO 64152-3703 | 2006-08-24 |
| 1982216925 | Peace Healthcare Inc | Clinic/Center | 8116 Harford Rd Ste B, Parkville, MD 21234-5761 | 2020-08-20 |
| 1295293124 | Life Centers of America LLC | Clinic/Center | 8509 Harford Rd, Parkville, MD 21234-4619 | 2019-03-11 |
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| Find all providers with the same taxonomy | ||||
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| 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.