LIFE'S POTENTIAL SERVICES (NPI# 1811446057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811446057 |
| Entity Type | Organization |
| Organization Name | LIFE'S POTENTIAL SERVICES |
| Practice Address |
10805 Hickory Ridge Rd Suite 103 Columbia MD 21044-3626 |
| Mailing Address |
Po Box 1254 Westminster MD 21158-5254 |
| Practice Telephone | 4432898149 |
| Practice Fax Number | 4438213280 |
| Mailing Telephone | 4432898149 |
| Mailing Fax Number | 4438213280 |
| Enumeration Date | 2016-09-29 |
| 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 |
| 1396294690 | Life's Potential Services | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-09-27 |
| Street Address |
10805 HICKORY RIDGE RD SUITE 103 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206493 | Columbia Hickory Pharmacy Inc | Pharmacy | 10805 Hickory Ridge Rd, Suite 2, Columbia, MD 21044-3626 | 2005-09-21 |
| 1700337698 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-17 |
| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1891116927 | Andrea Lubaway | Chiropractor | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2013-12-16 |
| 1386820488 | Hyung J Na | Pharmacist | 10805 Hickory Ridge Rd, Columbia Hickory Pharmacy, Columbia, MD 21044-3626 | 2008-01-18 |
| 1154540516 | Yingjun Li | Psychiatry & Neurology | 10805 Hickory Ridge Rd, Ste 201, Columbia, MD 21044 | 2007-04-24 |
| 1144244492 | Paul J Na | Pharmacist | 10805 Hickory Ridge Rd, Suite 2, Columbia, MD 21044-3626 | 2006-07-27 |
| 1609840370 | Gary Alan Kazlow | Specialist | 10805 Hickory Ridge Rd, Suite 210, Columbia, MD 21044-3626 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135947 | Choice Pain & Rehabilitation Center, LLC | Clinic/Center | 9123 Old Annapolis Rd Ste 203, Columbia, MD 21045-1970 | 2019-10-10 |
| 1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
| 1811383532 | Brooktree Columbia Md LLC | Clinic/Center | 10005-10015 Old Columbia Rd, Suite F-100, Columbia, MD 21046 | 2015-04-09 |
| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1760902563 | Reclaim You, LLC | Clinic/Center | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2017-06-22 |
| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1912354572 | Phoenix Programs, Inc. | Clinic/Center | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2016-05-24 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| 1518303213 | Stephanie Hanneken | Clinic/Center | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-05-21 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on LIFE'S POTENTIAL SERVICES.
| 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.