ACTIVE DAY MD, INC. (NPI# 1487798328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487798328 |
Entity Type | Organization |
Organization Name | ACTIVE DAY MD, INC. |
Other Organization Name | ACTIVE DAY OF ELKRIDGE |
Practice Address |
6801 Douglas Legum Dr Suite D Elkridge MD 21075-6273 |
Mailing Address |
400 Redland Ct Suite 114 Owings Mills MD 21117-3270 |
Practice Telephone | 4107991228 |
Practice Fax Number | 4107991696 |
Mailing Telephone | 4435482200 |
Mailing Fax Number | 4435482260 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KRIS W. BALDOCK (CHAIRMAN, CEO, PRESIDENT) |
Authorized Official Telephone | 4435482201 |
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 |
---|---|
Active Day of Elkridge | 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 |
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 |
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 |
6801 DOUGLAS LEGUM DR SUITE D |
City | ELKRIDGE |
State | MD |
Zip Code | 21075-6273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164565354 | Diane Louise Robertson | Physical Medicine & Rehabilitation | 6801 Douglas Legum Dr, Suite B, Elkridge, MD 21075-6273 | 2007-02-15 |
1629491386 | Caitlyn Gambrill | Speech-Language Pathologist | 6801 Douglas Legum Dr, Elkridge, MD 21075-6273 | 2014-01-30 |
1336561935 | Megan Elizabeth Shields | Speech-Language Pathologist | 6801 Douglas Legum Dr, Elkridge, MD 21075-6273 | 2014-01-16 |
1649617952 | The Children's Spot | Behavioral Analyst | 6801 Douglas Legum Dr, Elkridge, MD 21075-6273 | 2013-05-28 |
1023231719 | Debra Jeanne Taylor | Physical Therapist | 6801 Douglas Legum Dr, Elkridge, MD 21075-6273 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
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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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1457723173 | Comfort Life Care LLC | Clinic/Center | 7320 Roosevelt Blvd, Elkridge, MD 21075-6326 | 2015-10-21 |
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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 |
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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.