Active NPI
Lifeway Adult Medical Day Center, LLC
- Adult Day Care Clinic/Center
- Owings Mills, MD
National Provider Identifier
1407361660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LIFEWAY ADULT MEDICAL DAY CENTER, LLC
- Practice address
- 30 New Plant CT
Owings Mills, MD 21117-3514 - Phone
- (443) 929-1478
- NPI assigned
- Dec 11, 2017
- Last updated
- Dec 11, 2017
- 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
- Alex Berezin
- Title
- Manager
- Phone
- (443) 929-1478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
30 New Plant CT
Owings Mills, MD 21117-3514
Mailing address
30 New Plant CT
Owings Mills, MD 21117-3514
Phone (443) 929-1478
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2141151 | Lifeway Adult Medical Day Center LLC | Certificate of waiver | Dec 7, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Owings Mills, MD
- NPI 1285859587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1407361660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NEW PLANT CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173514",
"telephone_number": "443-929-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NEW PLANT CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173514",
"telephone_number": "443-929-1478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEWAY ADULT MEDICAL DAY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "BEREZIN",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-929-1478"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
- Lifebridge Sports Medicine & Rehabilitation LLC (Lifebridge Health Physical Therapy)
- Lifebridge Sports Medicine & Rehabilitation LLC (Lifebridge Health Physical Therapy)
- Lifebridge Sports Medicine & Rehabilitation, LLC (NovaCare Rehabilitation)
- Lifestyle (Lifestyle Wellness Center)
- Lifetime Dental Care of Maryland, Badger, P.C. (McDonogh Dental)
- Rodriquia Liggens
- Noah Isaac Lightman, M.D.
- Tanejha Latoya Lisa Lilley, CONS
- Suzanne Lim, PA-C
- Annika Yeahyun Limson, MS, LGPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.