NPIMap

Organization Active NPI

St. Mary's County Gov'T, Dept. of Aging, Medical Adult Day Services

  • Adult Day Care Clinic/Center
  • Hollywood, MD
National Provider Identifier
1023235157
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ST. MARY'S COUNTY GOV'T, DEPT. OF AGING, MEDICAL ADULT DAY SERVICES
Practice address
24400 Mervell Dean Rd
Hollywood, MD 20636-2709
Phone
(301) 373-6515
Fax
(301) 373-6517
NPI assigned
Apr 19, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Lori Jennings- Harris
Title
Director, Department of Aging
Phone
(301) 475-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MD Primary

Addresses

Primary practice location

24400 Mervell Dean Rd
Hollywood, MD 20636-2709

Mailing address

PO Box 653
Leonardtown, MD 20650-0653
Phone (301) 475-4200

Other names 1

  • Medical Adult Day Services, Ripple Center Other name

National Provider Directory

National Provider Directory
Tax ID family
St Mary's County Sheriff's Office5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24400 Mervell Dean Rd
Hollywood, MD 20636
Phone (301) 373-6515

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1023235157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500653",
            "telephone_number": "301-475-4200",
            "fax_number": "301-475-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 MERVELL DEAN RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206362709",
            "telephone_number": "301-373-6515",
            "fax_number": "301-373-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S COUNTY GOV'T, DEPT. OF AGING, MEDICAL ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JENNINGS-",
        "authorized_official_title_or_position": "DIRECTOR, DEPARTMENT OF AGING",
        "authorized_official_telephone_number": "301-475-4200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Adult Day Services, Ripple Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.