ENRICHING LIVES SUPPORT SERVICES INC
NPI 1467179507
Community/Behavioral Health in Baltimore, MD

Active since October 19, 2022
5109 YORK RD, BALTIMORE, MD 21212(443) 332-5777(443) 733-4507 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Oct 19, 2022 (2 updates tracked since 2022).

About Enriching Lives Support Services Inc NPPES

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

ENRICHING LIVES SUPPORT SERVICES INC (NPI 1467179507) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since October 2022. The organization maintains 2 additional practice locations and lists Jaquisa Desean Nash, Owner, as its authorized official.

NPPES Registry Identity

NPI1467179507
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameENRICHING LIVES SUPPORT SERVICES INC
Location Address5109 YORK RDBaltimore, MD 21212-4399
Mailing Address911 W 36th St Ste 2&74925Baltimore, MD 21211-2445 · (443) 332-5777
Fax(443) 733-4507
Organization SubpartNo
Authorized OfficialJaquisa Desean NashOwner · (443) 332-5777
Enumeration DateOctober 19, 2022
Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1467179507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5109 YORK RD, Baltimore, MD 21212

Secondary Practice Locations 2

Location 1911 W 36th St Ste 2&7Baltimore, MD 21211-2445 · Phone (443) 332-5777
Location 24925 Belair RdBaltimore, MD 21206-5648 · Phone (443) 332-5777

Other Providers at the Same Location NPPES 4

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

Pharmacy (Community/Retail Pharmacy)
5109 YORK RD
BALTIMORE, MD 21212
Substance Abuse Rehabilitation Facility
5109 YORK RD
BALTIMORE, MD 21212
Clinic/Center (Rehabilitation, Substance Use Disorder)
5109 YORK RD
BALTIMORE, MD 21212
Community/Behavioral Health
5109 YORK RD
BALTIMORE, MD 21212

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 Enriching Lives Support Services Inc's NPI number?

The NPI number for Enriching Lives Support Services Inc is 1467179507. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Enriching Lives Support Services Inc located?

Enriching Lives Support Services Inc is located at 5109 York Rd, Baltimore, MD 21212. The listed phone number is (443) 332-5777.

What is Enriching Lives Support Services Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Enriching Lives Support Services Inc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.