NPIMap

Organization Active NPI

True Vine Adult Medical Day Care, LLC.

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1114446531
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TRUE VINE ADULT MEDICAL DAY CARE, LLC.
Practice address
5629 Harford Rd
Baltimore, MD 21214-2272
Phone
(410) 444-0204
Fax
(410) 444-0124
NPI assigned
Sep 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Marcus MottonNPI 1013435387
Title
Program Director
Phone
(410) 444-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5629 Harford Rd
Baltimore, MD 21214-2272

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114446531",
    "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 RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142272",
            "telephone_number": "410-444-0204",
            "fax_number": "410-444-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE ADULT MEDICAL DAY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOTTON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-444-0204"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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.