Organization Active NPI

Heritage Adult Daycare Inc

  • Adult Day Care Clinic/Center
  • Towson, MD
National Provider Identifier
1104152594
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
HERITAGE ADULT DAYCARE INC
Practice address
8240 Loch Raven Blvd
Towson, MD 21286-8200
Phone
(410) 825-5575
Fax
(410) 825-5578
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mr. Daniel Trosman
Title
Program Director
Phone
(410) 825-5575

Specialties & licenses 1

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

Addresses

Primary practice location

8240 Loch Raven Blvd
Towson, MD 21286-8200

Mailing address

304 Reisterstown Rd
Pikesville, MD 21208-5312
Phone (410) 825-5575

Other identifiers 1

IdentifierTypeStateIssuer
417975700MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1104152594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085312",
            "telephone_number": "410-825-5575",
            "fax_number": "410-825-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868200",
            "telephone_number": "410-825-5575",
            "fax_number": "410-825-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "TROSMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-825-5575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417975700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.