Active NPI
Superior Adult Medical Day Services, LLC
- Adult Day Care Clinic/Center
- Randallstown, MD
National Provider Identifier
1386837656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 00000000000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.