NPIMap

Organization Active NPI

Stella Maris Inc Senior Day Center

  • Adult Day Care Clinic/Center
  • Timonium, MD
National Provider Identifier
1174721518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
15553 Issued in MD
Legal business name
STELLA MARIS INC SENIOR DAY CENTER
Practice address
2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone
(410) 427-7878
Fax
(410) 427-7801
NPI assigned
Jul 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Stinnette
Title
Chief Financial Officer
Phone
(410) 252-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 15553 MD Primary

Addresses

Primary practice location

2300 Dulaney Valley Rd
Timonium, MD 21093-2739

Mailing address

2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (410) 427-7878

Other identifiers 1

IdentifierTypeStateIssuer
4074599MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Stella Maris Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174721518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-427-7878",
            "fax_number": "410-427-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-427-7878",
            "fax_number": "410-427-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA MARIS INC SENIOR DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STINNETTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-252-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "15553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074599",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.