NPIMap

Organization Active NPI

Deerfield Healthcare Corp.

  • Adult Day Care Clinic/Center
  • Annapolis, MD
National Provider Identifier
1336280650
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DEERFIELD HEALTHCARE CORP.
Practice address
2525 Riva Rd
Suite 100
Annapolis, MD 21401-7411
Phone
(410) 573-9100
Fax
(410) 573-9102
NPI assigned
Feb 9, 2007
Organization subpart
Yes
Parent organization
ACTIVE DAY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Robert Creamer
Title
Ceo
Phone
(215) 642-6600

Specialties & licenses 1

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

Addresses

Primary practice location

2525 Riva Rd
Suite 100
Annapolis, MD 21401-7411

Mailing address

6 Neshaminy Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

Other identifiers 1

IdentifierTypeStateIssuer
602120400MedicaidMD

Other names 1

  • Active Day of Annapolis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day of Annapolis8 organizations share this tax ID, including this one
Part of
Active Day Inc

Other organizations with this tax ID 7

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1336280650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX DR STE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 RIVA RD",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017411",
            "telephone_number": "410-573-9100",
            "fax_number": "410-573-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD HEALTHCARE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602120400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Annapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Day of Annapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

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