Healthcare Provider Details

I. General information

NPI: 1124818810
Provider Name (Legal Business Name): LEVI HEALTH RESOURCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N CENTER ST STE 25
WESTMINSTER MD
21157-5126
US

IV. Provider business mailing address

405 N CENTER ST STE 25
WESTMINSTER MD
21157-5126
US

V. Phone/Fax

Practice location:
  • Phone: 443-850-6600
  • Fax:
Mailing address:
  • Phone: 443-850-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: OLADIMEJI ADEDIRE
Title or Position: PRESIDENT
Credential:
Phone: 443-850-6600