ACTIVE DAY MD, INC. (NPI# 1689715526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689715526 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY MD, INC. |
| Other Organization Name | ACTIVE DAY OF DUNDALK |
| Practice Address |
1730 Merritt Blvd Dundalk MD 21222-3212 |
| Mailing Address |
7 Neshaminy Interplex Dr Suite 403 Trevose PA 19053-6927 |
| Practice Telephone | 4102822756 |
| Practice Fax Number | 4102823569 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | CRAIG MEHNERT (COO) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 408431400 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Dundalk | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122674 | Active Day Md, Inc. | Clinic/Center | 9637 Liberty Rd, Suite K, Randallstown, MD 21133-2452 | 2007-02-16 |
| 1427199330 | Active Day Md, Inc. | Clinic/Center | 1667 Knecht Ave, Suite Q, Arbutus, MD 21227-1573 | 2007-02-12 |
| 1235271099 | Active Day Md, Inc. | Clinic/Center | 354 Mountain Rd, Suite G, Pasadena, MD 21122-1158 | 2007-02-12 |
| 1710028568 | Active Day Md, Inc. | Clinic/Center | 1361 Brass Mill Rd, Suite B-c, Belcamp, MD 21017-1213 | 2007-02-12 |
| 1760523542 | Active Day Md, Inc. | Clinic/Center | 1430 Joh Ave Ste A, Baltimore, MD 21227-1037 | 2007-02-12 |
| 1235274333 | Active Day Md, Inc. | Clinic/Center | 1001 W Pratt St, Baltimore, MD 21223-2662 | 2007-02-20 |
| 1487798328 | Active Day Md, Inc. | Clinic/Center | 6801 Douglas Legum Dr, Suite D, Elkridge, MD 21075-6273 | 2007-02-16 |
| 1710029525 | Active Day Md, Inc. | Clinic/Center | 1840 York Rd, Suite H, Timonium, MD 21093-5121 | 2007-02-12 |
| 1255472189 | Active Day Md, Inc. | Clinic/Center | 1531 S Edgewood St, Suite L, Baltimore, MD 21227-1066 | 2007-02-12 |
| Street Address |
1730 MERRITT BLVD |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727415 | Umms Ambulatory Care LLC | Clinic/Center | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2020-10-09 |
| 1679180822 | Umms Ambulatory Care LLC | Clinic/Center | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2020-09-30 |
| 1427425933 | Statcare Group LLC | Clinic/Center | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2015-09-01 |
| 1104150838 | Leslie June Mcjilton | Physician Assistant | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
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| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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|---|---|---|---|---|
| 1568664407 | Caring Hands Adult Medical Day Care | Clinic/Center | 49-61 Shipping Place, Dundalk, MD 21222 | 2007-06-04 |
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| 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 |
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| 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 |
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| 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.