NPIMap

Organization Active NPI

Eden Adult Medical Daycare Center, Inc.

  • Adult Day Care Clinic/Center
  • Hunt Valley, MD
National Provider Identifier
1295071074
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
03-025-A Issued in MD
Legal business name
EDEN ADULT MEDICAL DAYCARE CENTER, INC.
Practice address
10947 Golden West Dr Ste 200
Hunt Valley, MD 21031-1341
Phone
(410) 329-1444
Fax
(410) 329-1533
NPI assigned
Dec 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Amy Shinsoon Lee
Title
Owner
Phone
(410) 329-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 03-025-A MD Primary

Addresses

Primary practice location

10947 Golden West Dr Ste 200
Hunt Valley, MD 21031-1341

Mailing address

10947 Golden West Dr Ste 200
Hunt Valley, MD 21031-1341
Phone (410) 329-1444

Other names 1

  • ST.JOHN ADULT MEDICAL DAYCARE, INC. Doing business as

National Provider Directory

National Provider Directory

Locations

10947 Golden West Dr
Ste 200
Hunt Valley, MD 21031
Phone (410) 329-1444

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1295071074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10947 GOLDEN WEST DR STE 200",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311341",
            "telephone_number": "410-329-1444",
            "fax_number": "410-329-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10947 GOLDEN WEST DR STE 200",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311341",
            "telephone_number": "410-329-1444",
            "fax_number": "410-329-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN ADULT MEDICAL DAYCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-22",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SHINSOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-329-1444"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "03-025-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST.JOHN ADULT MEDICAL DAYCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; 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.