ACTIVE DAY MD, INC. (NPI# 1760523542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760523542 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY MD, INC. |
| Other Organization Name | ACTIVE DAY OF BALTIMORE |
| Practice Address |
1430 Joh Ave Ste A Baltimore MD 21227-1037 |
| Mailing Address |
6 Neshaminy Interplex Dr Ste 401 Trevose PA 19053-6942 |
| Practice Telephone | 4102420379 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | ROBERT CREAMER (CEO) |
| 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 | 409532400 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Baltimore | Doing Business As Name - Organization |
| Active Day of Mount Clare | 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 |
| 1689715526 | Active Day Md, Inc. | Clinic/Center | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2007-02-12 |
| 1710028568 | Active Day Md, Inc. | Clinic/Center | 1361 Brass Mill Rd, Suite B-c, Belcamp, MD 21017-1213 | 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 |
1430 JOH AVE STE A |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1619494242 | Baltimore Adult Medical Day Care | Clinic/Center | 1109 Ingleside Ave, Baltimore, MD 21207-4735 | 2017-08-24 |
| 1669735445 | A Providence Medical Adult Day Care Inc | Clinic/Center | 800 S Caton Ave, Baltimore, MD 21229-4210 | 2012-06-18 |
| 1053681775 | Golden Days Medical Day Care Inc | Clinic/Center | 4601 Hollins Ferry Rd Ste C, Baltimore, MD 21227-4625 | 2012-01-11 |
| 1568756807 | Quality Life Day Services Inc | Clinic/Center | 1200 Steuart St Unit 1413, Baltimore, MD 21230-5392 | 2011-06-03 |
| 1083912406 | Levels Adult Day Care | Clinic/Center | 210 W. 28th St., Baltimore, MD 21211 | 2011-03-09 |
| 1255642138 | Team 2 | Clinic/Center | 4147 Labyrinth Rd, Baltimore, MD 21215-2202 | 2010-06-25 |
| 1508028572 | Payne Memorial Outreach, Inc. | Clinic/Center | 1701 Madison Ave, Baltimore, MD 21217-3731 | 2008-06-30 |
| Find all providers in BALTIMORE | ||||
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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.