NPIMap

Organization Active NPI

Dorchester County Commission on the Aging, Inc

Doing business as Pleasant Place

  • Community/Behavioral Health Agency
  • Cambridge, MD
National Provider Identifier
1568662989
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DORCHESTER COUNTY COMMISSION ON THE AGING, INC
Doing business as
Pleasant Place
Practice address
2474 Cambridge Beltway
Cambridge, MD 21613-3679
Phone
(410) 228-0190
Fax
(410) 221-8064
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mrs. Jackie J Vickers
Title
Executive Director
Phone
(410) 228-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2474 Cambridge Beltway
Cambridge, MD 21613-3679

Mailing address

2474 Cambridge Beltway
Cambridge, MD 21613-3679
Phone (410) 228-0190

Other identifiers 1

IdentifierTypeStateIssuer
8800006500MedicaidMD

Other names 1

  • Pleasant Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dorchester County Commission on the Aging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1568662989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 CAMBRIDGE BELTWAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133679",
            "telephone_number": "410-228-0190",
            "fax_number": "410-221-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 CAMBRIDGE BELTWAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133679",
            "telephone_number": "410-228-0190",
            "fax_number": "410-221-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY COMMISSION ON THE AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-228-0190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8800006500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.