Merry Stars Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MERRY STARS INC.

Practice address

3524 Carriage Hill Cir Apt 203
Randallstown, MD 21133-2961

Phone

(240) 879-7479

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Ayomikun Fabunmi

Title

Program Administrator

Phone

(240) 879-7479

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1427786359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 CARRIAGE HILL CIR APT 203",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332961",
            "telephone_number": "240-879-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 CARRIAGE HILL CIR APT 203",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332961",
            "telephone_number": "240-879-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRY STARS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "FABUNMI",
        "authorized_official_first_name": "AYOMIKUN",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "240-879-7479"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronaldo T Mendoza, PA-C
• Margaret Mensa
• Sara C Merchant, LCSW C
• Mercy Care Inc.
• Mercy Health Systems Inc.
• Mersey Care LLC
• Ogechi V Mezu, PHARM.D.
• Michael Healthcare Services LLC
• David Michaels
• Mid-Atlantic of Chapel Hill LLC

• Developmental Disabilities Clinic/Center in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.