TAYLORED 4 LIFE, INC. (NPI# 1306327390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306327390 |
| Entity Type | Organization |
| Organization Name | TAYLORED 4 LIFE, INC. |
| Other Organization Name | VIBRANT HEALTH & WELLNESS FOUNDATION, INC. NON PROFIT 501 (C) 3 |
| Practice Address |
1300 Mercantile Ln Ste 129-10 Largo MD 20774-5327 |
| Practice Telephone | 2404627983 |
| Practice Fax Number | 3012499013 |
| Mailing Telephone | 2404627983 |
| Mailing Fax Number | 3012499013 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. GREGORY TAYLOR (FOUNDER & PRESIDENT) |
| Authorized Official Telephone | 2404627983 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Vibrant Health & Wellness Foundation, Inc. Non Profit 501 (C) 3 | Doing Business As Name - Organization |
| Street Address |
1300 MERCANTILE LN STE 129-10 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114408291 | Gregory Taylor | Health Educator | 1300 Mercantile Ln Ste 129-10, Largo, MD 20774-5327 | 2018-08-27 |
| 1093337735 | Nadine Moreland | Massage Therapist | 1300 Mercantile Ln Ste 129-10, Largo, MD 20774-5327 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114408291 | Gregory Taylor | Health Educator | 1300 Mercantile Ln Ste 129-10, Largo, MD 20774-5327 | 2018-08-27 |
| 1679072151 | Kieran M Gabel | Health Educator | 8495 Bryan Dairy Rd, Largo, FL 33777-1213 | 2018-02-09 |
| 1578123964 | Natasha Walker | Health Educator | 8495 Bryan Dairy Rd, Largo, FL 33777-1213 | 2019-06-18 |
| 1285137273 | Michelle Demus | Health Educator | 11701 Belcher Rd S, Largo, FL 33773-5135 | 2018-03-15 |
| 1215430939 | Sandra Miller | Health Educator | 8495 Bryan Dairy Rd, Largo, FL 33777-1213 | 2018-03-09 |
| 1518469584 | Jill Kathryn Lawrence | Health Educator | 8495 Bryan Dairy Rd, Largo, FL 33777-1213 | 2018-03-06 |
| 1427557875 | Ashley Jennifer Smith | Health Educator | 8495 Bryan Dairy Rd, Largo, FL 33777-1213 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645908 | Rose L Dodson | Health Educator | 11350 Pembrooke Sq Ste 314, Waldorf, MD 20603-4809 | 2020-06-29 |
| 1497389829 | Christine Harding | Health Educator | Calvert Library - Fairview Branch, 8120 Southern Md Blvd, Owings, MD 20736 | 2020-02-25 |
| 1699307868 | Western Maryland Area Health Education Center, Inc. | Health Educator | 39 Baltimore St Ste 201, Cumberland, MD 21502-3066 | 2020-02-06 |
| 1104456102 | Lajune Singleton | Health Educator | 6918 Sourwood Ln, Fort Washington, MD 20744-3142 | 2020-01-19 |
| 1508406166 | Jennifer Dawn Schindler | Health Educator | 8120 Southern Maryland Blvd, Owings, MD 20736-3703 | 2020-01-13 |
| 1588202543 | Leslie Amina Gyau | Health Educator | 13621 Montvale Dr, Silver Spring, MD 20904-1283 | 2019-12-20 |
| 1316589476 | Victoria Gilliam | Health Educator | 2101 E Jefferson St Fl 2, Rockville, MD 20852-4908 | 2019-10-10 |
| 1811543796 | Shenna Hair | Health Educator | 607 Melville Ave, Baltimore, MD 21218-2552 | 2019-08-15 |
| 1063068187 | Jennifer Diane Taubert | Health Educator | 450 W Dares Beach Rd, Prince Frederick, MD 20678-3126 | 2019-08-14 |
| 1841843752 | Erika Demme | Health Educator | 9010 Chesapeake Avenue, North Beach, MD 20714 | 2019-07-19 |
| 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.