NPIMap

Organization Active NPI

Worldshine International LLC

  • Adult Day Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1134525470
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WORLDSHINE INTERNATIONAL LLC
Practice address
700 Professional Dr
Gaithersburg, MD 20879-3418
Phone
(240) 899-4898
Fax
(240) 767-6058
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mr. Qili Li
Title
Managing Member
Phone
(301) 562-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Skilled Nursing Facility 314000000X 15-004-A MD

Addresses

Primary practice location

700 Professional Dr
Gaithersburg, MD 20879-3418

Mailing address

700 Professional Dr
Gaithersburg, MD 20879-3418
Phone (240) 332-5466

Other identifiers 2

IdentifierTypeStateIssuer
15-004-AOtherMDDEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY
AMDC-0025OtherMDDEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY

Other names 1

  • Worldshine Adult Medical Day Care Doing business as

National Provider Directory

National Provider Directory

Locations

20420 Century Blvd
Germantown, MD 20874
Phone (240) 447-6523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1134525470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793418",
            "telephone_number": "240-332-5466",
            "fax_number": "240-767-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793418",
            "telephone_number": "240-899-4898",
            "fax_number": "240-767-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLDSHINE INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "QILI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-562-1999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-004-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY",
            "identifier": "15-004-A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF HEALTH CARE QUALITY",
            "identifier": "AMDC-0025",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worldshine Adult Medical Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.