NPIMap

Organization Active NPI

Team 2

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1255642138
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TEAM 2
Practice address
4147 Labyrinth Rd
Baltimore, MD 21215-2202
Phone
(443) 278-9290
Fax
(443) 278-9000
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Joseph Shparaga
Title
Vice President
Phone
(443) 278-9290

Specialties & licenses 1

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

Addresses

Primary practice location

4147 Labyrinth Rd
Baltimore, MD 21215-2202

Mailing address

4147 Labyrinth Rd
Baltimore, MD 21215-2202
Phone (443) 278-9290

Other names 1

  • Phoenix Adult medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long Life Adult Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1255642138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 LABYRINTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152202",
            "telephone_number": "443-278-9290",
            "fax_number": "443-278-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 LABYRINTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152202",
            "telephone_number": "443-278-9290",
            "fax_number": "443-278-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SHPARAGA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-278-9290"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Adult medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2010; 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.