NPIMap

Organization Active NPI

Levindale Hebrew Geriatric Center & Hospital Inc

  • Adult Day Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1295214393
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC
Practice address
Lifebridge Health Adult Day Services
5400 Old Court Road
Randallstown, MD 21133
Phone
(410) 601-2361
NPI assigned
Aug 9, 2018
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LEVINDALE ADULT DAY CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Cleveland Smith
Title
Assit Director PFS
Phone
(410) 601-2935

Specialties & licenses 1

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

Addresses

Primary practice location

Lifebridge Health Adult Day Services
5400 Old Court Road
Randallstown, MD 21133

Mailing address

Timonium Business Park
1946 Greenspring Drive, Suite R
Timonium, MD 21093-4152
Phone (410) 601-2935

Other identifiers 3

IdentifierTypeStateIssuer
272753600MedicaidMD
333894100MedicaidMD
780093200MedicaidMD

Other names 1

  • Lifebridge Health Adult Day Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Levindale8 organizations share this tax ID, including this one
Part of
Levindale

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1946 Greenspring Dr
Ste R
Timonium, MD 21093

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1295214393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TIMONIUM BUSINESS PARK",
            "address_2": "1946 GREENSPRING DRIVE, SUITE R",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934152",
            "telephone_number": "410-601-2935",
            "fax_number": "410-601-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFEBRIDGE HEALTH ADULT DAY SERVICES",
            "address_2": "5400 OLD COURT ROAD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-601-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEVINDALE ADULT DAY CARE CENTER",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "ASSIT DIRECTOR PFS",
        "authorized_official_telephone_number": "410-601-2935"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272753600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333894100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780093200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifebridge Health Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.