Organization Active NPI

Superior Adult Medical Day Services, LLC

  • Adult Day Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1386837656
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
00000000000 Issued in MD
Legal business name
SUPERIOR ADULT MEDICAL DAY SERVICES, LLC
Practice address
9946 Liberty Rd
Randallstown, MD 21133-1804
Phone
(410) 496-6220
Fax
(410) 496-6221
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mrs. Simone Galletta, OWNER
Title
Ceo
Phone
(856) 507-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 00000000000 MD Primary

Addresses

Primary practice location

9946 Liberty Rd
Randallstown, MD 21133-1804

Mailing address

9946 Liberty Rd
Randallstown, MD 21133-1804
Phone (410) 496-6220

National Provider Directory

National Provider Directory

Locations

9946 Liberty Rd
Randallstown, MD 21133
Phone (410) 496-6220

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1386837656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9946 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331804",
            "telephone_number": "410-496-6220",
            "fax_number": "410-496-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9946 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331804",
            "telephone_number": "410-496-6220",
            "fax_number": "410-496-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ADULT MEDICAL DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "GALLETTA",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-507-1911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 21, 2007; 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.