Organization Active NPI

Lifeway Adult Medical Day Center, LLC

  • Adult Day Care Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1407361660
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2141151Lifeway Adult Medical Day Center LLC30 New Plant Court, Owings Mills, MD 21117Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.