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OWNER
NPI 1376286674
Nurse Practitioner - Family in Baltimore, MD

Active since April 15, 2022
4401 FLOWERTON RD, BALTIMORE, MD 21229(443) 683-3025 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2022, Aug 29, 2022, Aug 27, 2022 and 1 more (4 updates tracked since 2022).

About Owner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OWNER (NPI 1376286674) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since April 2022. The organization lists Hilda Ardella Lively, Owner, as its authorized official.

NPPES Registry Identity

NPI1376286674
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIVELYCARE
Location Address4401 FLOWERTON RDBaltimore, MD 21229-1510
Mailing Address4401 Flowerton RdBaltimore, MD 21229-1510 · (443) 683-3025
Phone(443) 683-3025
Organization SubpartNo
Authorized OfficialHilda Ardella LivelyOwner · (443) 683-3025
Enumeration DateApril 15, 2022
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1376286674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4401 FLOWERTON RD, Baltimore, MD 21229
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Other Names 2

Doing Business AsOwner
Doing Business AsLivelycare

Other Identifiers 1

MedicaidT082720220000017MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN BUCKNER
Registered Nurse
4401 FLOWERTON RD
BALTIMORE, MD 21229
Baltimore City (443) 683-3025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Livelycare's NPI number?

The NPI number for Livelycare is 1376286674. It was assigned to this organization in the NPPES registry on April 15, 2022. The provider is doing business as Owner.

Where is Livelycare located?

Livelycare is located at 4401 Flowerton Rd, Baltimore, MD 21229. The listed phone number is (443) 683-3025.

What is Livelycare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Livelycare was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.