Provider Demographics
NPI:1801297882
Name:BETTER LIVES INC
Entity type:Organization
Organization Name:BETTER LIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEKAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:240-253-7412
Mailing Address - Street 1:3237A CORPORATE CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2247
Mailing Address - Country:US
Mailing Address - Phone:301-341-3390
Mailing Address - Fax:301-341-3391
Practice Address - Street 1:3237A CORPORATE CT UNIT A
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2247
Practice Address - Country:US
Practice Address - Phone:301-341-3390
Practice Address - Fax:301-341-3391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER LIVES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-10
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3399251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423619000Medicaid
MD1241087-00Medicaid