Individual provider Active NPI

Marcus Motton

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1013435387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
30-033-A Issued in MD
Practice address
5629 Harford Road
Baltimore, MD 21214
Phone
(410) 444-0204
Fax
(410) 444-0124
NPI assigned
Sep 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 30-033-A MD Primary

Addresses

Primary practice location

5629 Harford Road
Baltimore, MD 21214

Mailing address

5629 Harford Rd
Baltimore, MD 21214-2272
Phone (410) 444-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30-033-AMDMDAdult Day Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
True Vine Health LLC Current Accepting new patients
Vine Residential Services Current Accepting new patients
True Vine Health LLC Current Accepting new patients
True Vine Adult Medical Day Care, LLC. Adult Day Care CurrentSince Jul 24, 2022 Accepting new patients

Locations

5629 Harford Rd
Baltimore, MD 21214
Phone (410) 426-6123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013435387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142272",
            "telephone_number": "410-444-0204",
            "fax_number": "410-444-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 HARFORD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "410-444-0204",
            "fax_number": "410-444-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTON",
        "first_name": "MARCUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "30-033-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.