JETD (NPI# 1275706020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275706020 |
| Entity Type | Organization |
| Organization Name | JETD |
| Other Organization Name | RENAISSANCE ADULT MEDICAL CENTER |
| Practice Address |
1017 Reisterstown Rd Pikesville MD 21208-4207 |
| Mailing Address |
1915 Maryland Ave Baltimore MD 21218-5916 |
| Practice Telephone | 4105809301 |
| Practice Fax Number | 4105809305 |
| Mailing Telephone | 4105288730 |
| Mailing Fax Number | 4105288733 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | MR. JOSEPH SHPARGA (PRESIDENT) |
| Authorized Official Telephone | 4105288730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Renaissance Adult Medical Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JetDecks LLP | 11000 E Tomichi Dr, Franktown, CO 80116 |
| Colorado Business Entities | JETDECKS, INC. | 11154 Pine Valley Drive, Franktown, CO 80116 |
| Vermont Business Registrations | JETDIRECT AVIATION, INC. | 97 Libbey Parkway, Weymouth, MA 02189 |
| Colorado Business Entities | JetDirect Aviation, Inc. | 97 Libbey Parkway, Weymouth, MA 02189 |
| Connecticut Business Registrations | JETDIRECT AVIATION, INC. | 97 Libbey Pkwy, Weymouth, MA 02189 |
| Oklahoma Business Registrations | JETDIRECT AVIATION, INC. | 97 Libbey Pkwy, Weymouth, MA 02189 |
| Indiana Business Entities | JETDIRECT AVIATION, INC. | 97 Libbey Pkwy, Weymouth, MA 02189 |
| New York State Corporations | JETDOC, LLC | P.o. Box 802, East Aurora, Ny 14052 |
| Street Address |
1017 REISTERSTOWN RD |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235599911 | Adult Day Health, Inc. | Custodial Care Facility | 1017 Reisterstown Rd, Pikesville, MD 21208-4207 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477768067 | Rainbow Adcc of Rockville, LLC | Clinic/Center | 1498 Reisterstown Rd # 367, Pikesville, MD 21208 | 2007-05-14 |
| 1497961742 | Rainbow Adcc of Owings Mills, LLC | Clinic/Center | 1498 Reisterstown Rd # 367, Pikesville, MD 21208 | 2007-05-15 |
| 1245445816 | Rainbow Adcc of Baltimore County | Clinic/Center | 1498 Reisterstown Rd # 367, Pikesville, MD 21208 | 2007-05-14 |
| 1063627636 | Rainbow Adcc of Milbrook, LLC | Clinic/Center | 1498 Reisterstown Rd # 367, Pikesville, MD 21208 | 2007-05-14 |
| 1184839763 | Rainbow Adcc of Montgomery County, LLC | Clinic/Center | 1498 Reisterstown Rd # 367, Pikesville, MD 21208 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241210 | Fahrney-keedy Memorial Home, Inc. | Clinic/Center | 21 Mountain View Drive, Boonsboro, MD 21713 | 2020-03-26 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1720619356 | Change Agent Network Africa,inc. | Clinic/Center | 4801 Sipple Ave, Baltimore, MD 21206-5605 | 2020-02-02 |
| 1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1730721085 | Serenity Manor Adult Day Services, LLC | Clinic/Center | 1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040-3852 | 2019-10-08 |
| 1487208112 | Comfort Life Care Adult Medical Day Care | Clinic/Center | 11221 Dolfield Blvd Ste 100-101, Owings Mills, MD 21117-3254 | 2019-07-31 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1073165619 | Aastha Amdc, LLC | Clinic/Center | 12210 Plum Orchard Dr Ste 214, Silver Spring, MD 20904-7913 | 2019-07-14 |
| 1992260079 | Links Residential Care Inc. | Clinic/Center | 6136 Landover Rd, Cheverly, MD 20785-1022 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
Please comment or provide details below to improve the information on JETD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.