LIFE'S POTENTIAL SERVICES (NPI# 1396294690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396294690 |
| Entity Type | Organization |
| Organization Name | LIFE'S POTENTIAL SERVICES |
| Practice Address |
3455 Wilkens Ave Suite 303 Baltimore MD 21229-5213 |
| Mailing Address |
Po Box 1254 Westminster MD 21158-5254 |
| Practice Telephone | 4432898149 |
| Practice Fax Number | 4438213280 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | MRS. KAREN BYRD (CEO) |
| Authorized Official Telephone | 4432898149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760915474 | Life's Potential Services | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2017-04-10 |
| 1811446057 | Life's Potential Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-09-29 |
| Street Address |
3455 WILKENS AVE SUITE 303 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508271 | Voshell's Pharmacy, Inc | Pharmacy | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2005-09-13 |
| 1508321290 | Wendy Dechowitz | Counselor | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2019-02-06 |
| 1548708761 | Contemporary Family Services, Inc | Community/Behavioral Health | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-02-08 |
| 1528505674 | Swinton Home Care, LLC | In Home Supportive Care | 3455 Wilkens Ave, Suite 202, Baltimore, MD 21229-5213 | 2017-01-27 |
| 1437695640 | Contemporary Family Services, Inc. | Day Training, Developmentally Disabled Services | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-01-11 |
| 1609310101 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2016-12-19 |
| 1174074066 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-10-17 |
| 1427506278 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-09-21 |
| 1558722397 | In Balance Physical Therapy and Wellness Center LLC | Clinic/Center | 3455 Wilkens Ave, Suite 200, Baltimore, MD 21229-5213 | 2016-03-07 |
| 1144607821 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3455 Wilkens Ave, Suite 306, Baltimore, MD 21229-5213 | 2015-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers in BALTIMORE | ||||
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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.