ACTIVE SC PCA, INC. (NPI# 1306923719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306923719 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC PCA, INC. |
| Practice Address |
400 Redland Ct Suite 114 Owings Mills MD 21117-3270 |
| Practice Telephone | 4435482200 |
| Practice Fax Number | 4435482260 |
| Mailing Telephone | 4435482200 |
| Mailing Fax Number | 4435482260 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. KRIS W BALDOCK (CHAIRMAN, CEO/PRESIDENT) |
| Authorized Official Telephone | 4435482200 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353499 | Active Sc PCa, Inc. | Home Health | 21 Mcbeth St, Greenville, SC 29611-3548 | 2007-05-09 |
| 1730223751 | Active Sc PCa, Inc. | Home Health | 930 Oswego Hwy, Sumter, SC 29153-8733 | 2007-02-16 |
| 1578604054 | Active Sc PCa, Inc. | Home Health | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-09 |
| 1023158151 | Active Sc PCa, Inc. | Home Health | 104 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-02-07 |
| Street Address |
400 REDLAND CT SUITE 114 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518056779 | Active Day Md, Inc | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-10-12 |
| 1437236999 | Acsr, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1811074388 | Active Ma, Inc. | Home Health | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1932286333 | Active Sc One, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1528145927 | Active Sc Two, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1326125741 | Deerfield Healthcare Corporation | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1174600589 | Friendly Harbor Services | Transportation Broker | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| 1437248614 | Active Day Oh, Inc | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-10-12 |
| 1063501252 | Active Day, Fl, Inc | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542774 | Bzed Health Care Staffing LLC | Home Health | 324 Kendigs Mill Rd, Owings Mills, MD 21117-1305 | 2020-09-11 |
| 1386275857 | Cmag Health Solutions, LLC | Home Health | 11155 Dolfield Blvd Ste 110, Owings Mills, MD 21117-3289 | 2020-02-03 |
| 1730737289 | M3 Healthcare Services Inc | Home Health | 4705 Creekside Cir Apt 304, Owings Mills, MD 21117-6935 | 2019-08-28 |
| 1528545787 | Awesome Global Services Inc. | Home Health | 9338 Town Place Dr, Owings Mills, MD 21117-4845 | 2018-07-20 |
| 1821596289 | Life Gate Healthcare Services Inc | Home Health | 6 Park Center Ct Ste 202, Owings Mills, MD 21117-5604 | 2018-01-30 |
| 1750899241 | Trinity Wellness and Medical Weight Loss | Home Health | 4546 Vermeer Ct, Owings Mills, MD 21117-7900 | 2018-01-18 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1760909378 | Covenant Home Healthcare | Home Health | 4614 Runnymeade Rd, Owings Mills, MD 21117-6220 | 2017-08-24 |
| 1891238846 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 11155 Dolfield Blvd Ste 116, Owings Mills, MD 21117-3289 | 2016-11-23 |
| 1447615505 | Chioma Obi | Home Health | 4606 Waterfall Ct, T2, Owings Mills, MD 21117-4979 | 2015-12-16 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.