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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Owner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Owner, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1477799245
4401 FLOWERTON ROAD
Baltimore, MD 21229
(144) 368-3302
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Livelycare enrolled in Medicare?

Yes. Livelycare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Livelycare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Livelycare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 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.