ACTIVE DAY MD, INC. (NPI# 1720122674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720122674 |
| Entity Type | Organization |
| Organization Name | ACTIVE DAY MD, INC. |
| Other Organization Name | ACTIVE DAY OF RANDALLSTOWN |
| Practice Address |
9637 Liberty Rd Suite K Randallstown MD 21133-2452 |
| Mailing Address |
6 Neshaminy Interplex Dr Ste 401 Trevose PA 19053-6942 |
| Practice Telephone | 4109228600 |
| Practice Fax Number | 4109226939 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-16 |
| 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 | 408435700 | 05 |
| Other Name | Type Code |
|---|---|
| Active Day of Randallstown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
9637 LIBERTY RD SUITE K |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427207208 | Christina A. Morgan | Physical Therapy Assistant | 9637 Liberty Rd, Suite K, Randallstown, MD 21133-2452 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1386837656 | Superior Adult Medical Day Services, LLC | Clinic/Center | 9946 Liberty Rd, Randallstown, MD 21133-1804 | 2007-08-21 |
| 1144429713 | Center for Social Change Inc | Clinic/Center | 3400 Barry Paul Rd, Randallstown, MD 21133-5161 | 2007-07-13 |
| 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 | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on ACTIVE DAY MD, INC..
| 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.