Healthy Lives, LLC (NPI# 1609471853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1609471853 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVES, LLC |
| Practice Address |
2716 Baker St Baltimore MD 21216-4002 |
| Practice Telephone | 4437223116 |
| Mailing Address |
1504 Joh Ave Ste 120 Baltimore MD 21227-1070 |
| Mailing Telephone | 4432197901 |
| Authorized Official Name | Ahmein Watson (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4432197901 |
| Authorized Official Credential | LCSW-C, LADC |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134724875 | Healthy Lives, LLC | Substance Abuse Rehabilitation Facility | 2806 Harlem Ave, Baltimore, MD 21216-4719 | 2020-12-01 |
| 1679171052 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-16 |
| 1477150811 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-08 |
| 1841704533 | Healthy Lives, LLC | Clinic/Center | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2017-11-17 |
| 1366827073 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-07-23 |
| 1174905640 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-06-22 |
| 1114268661 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2013-03-08 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134724875 | Healthy Lives, LLC | Substance Abuse Rehabilitation Facility | 2806 Harlem Ave, Baltimore, MD 21216-4719 | 2020-12-01 |
| 1699379768 | American Psychiatric Group Pa | Substance Abuse Rehabilitation Facility | 502 Chateau Ave, Baltimore, MD 21212-4305 | 2020-11-30 |
| 1871196915 | Lawrence Recovery House | Substance Abuse Rehabilitation Facility | 3415 W Franklin St, Baltimore, MD 21229-3054 | 2020-11-20 |
| 1366045585 | Therapetic Wellness Services Corp | Substance Abuse Rehabilitation Facility | 3330 Lyndale Ave, Baltimore, MD 21213-1610 | 2020-11-19 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| Find all providers in BALTIMORE | ||||
| Street Address |
2716 BAKER ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
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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.