NPIMap

Organization Active NPI

Deerfield Healthcare Corp.

  • Adult Day Care Clinic/Center
  • Parkville, MD
National Provider Identifier
1083755326
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DEERFIELD HEALTHCARE CORP.
Practice address
3321 E Joppa Rd
Parkville, MD 21234-3337
Phone
(410) 663-9501
Fax
(410) 663-9511
NPI assigned
Feb 9, 2007
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Robert Creamer
Title
Ceo
Phone
(215) 642-6600

Specialties & licenses 1

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

Addresses

Primary practice location

3321 E Joppa Rd
Parkville, MD 21234-3337

Mailing address

6 Neshaminy Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

Other identifiers 1

IdentifierTypeStateIssuer
215500100MedicaidMD

Other names 1

  • Active Day of Parkville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day of Annapolis8 organizations share this tax ID, including this one
Part of
Active Day Inc

Other organizations with this tax ID 7

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

Locations

3321 E Joppa Rd
Parkville, MD 21234
Phone (410) 356-6161

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1083755326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX DR STE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E JOPPA RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343337",
            "telephone_number": "410-663-9501",
            "fax_number": "410-663-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD HEALTHCARE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Parkville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Day of Parkville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.