Advance Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

03-027-A Issued in MD

Legal business name

ADVANCE ADULT DAY CARE LLC

Practice address

3 Easter CT
Ste. B
Owings Mills, MD 21117-3297

Phone

(410) 580-2040

Fax

(410) 580-2060

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Yeduard Pastushenko

Title

President

Phone

(410) 580-2040

Specialties & licenses 1

Addresses

Other names 1

• Friendship at Owings Mills AMDC Center Doing business as

Tax ID family

Advance Adult Day Care LLC2 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.

• Advance Adult Day Care L.L.C.

  • Adult Day Care Clinic/Center
  • Baltimore, MD
  • NPI 1538503404
  NPD tax ID

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1336686203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 REISTERSTOWN RD",
            "address_2": "STE. C",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083838",
            "telephone_number": "410-580-2040",
            "fax_number": "410-580-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EASTER CT",
            "address_2": "STE. B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173297",
            "telephone_number": "410-580-2040",
            "fax_number": "410-580-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "PASTUSHENKO",
        "authorized_official_first_name": "YEDUARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-580-2040"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "03-027-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship at Owings Mills AMDC Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adult Day Health, Inc.
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• Adv. Cntrs for Ortho Surg. & Sports Med
• Advanced Centers for Orthopedic Surgery and Sports Medicine
• Advanced Cosmetic and Implant Dentistry of Maryland, Inc.
• Advanced Medical Concepts, Inc.
• Advanced Pain Management Specialists LLC
• Advanced Pain Management Specialists LLC

• All providers in Owings Mills, MD
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.