L.I.F.E. INC. NPI 1588862627

NPI Information

NPI: 1588862627
Provider Name: L.I.F.E. INC.
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Doing Business As: L.I.F.E. ADULT MEDICAL DAY CARE
CLIA Number: 21D2282566
Address: 4805 BENSON AVENUE
BALTIMORE, MD
ZIP 21227
Phone: (410) 735-5433

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NPI Details

L.I.F.E. INC. is an adult day care clinic center in Baltimore, MD. L.I.F.E. INC. NPI is 1588862627. The provider is registered as an organization entity type.
The provider Is Doing Business As L.i.f.e. Adult Medical Day Care.

The provider's business location address is:

4805 BENSON AVENUE
BALTIMORE, MD
ZIP 21227
Phone: (410) 735-5433
Fax: (410) 735-5431

The provider's authorized official is Theresa Marie Forrest .
The authorized official title is Chief Operating Officer and has the following contact phone number (410) 735-5433.

The CLIA number assigned to this NPI record is 21D2282566 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	702205100	MARYLAND	Yes
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		DDA-17237-05	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7022055100	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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