Organization Active NPI

Advanced Medical Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1639754377
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADVANCED MEDICAL ADULT DAY CARE INC
Practice address
4147 Labyrinth Rd
Baltimore, MD 21215-2202
Phone
(443) 838-0007
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Julie Rakhamimov
Title
General Manager
Phone
(443) 838-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4147 Labyrinth Rd
Baltimore, MD 21215-2202

Mailing address

4147 Labyrinth Rd
Baltimore, MD 21215-2202
Phone (443) 838-0007

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
21D2225034Advanced Medical Adult Day Care4147 Labyrinth Rd, Baltimore, MD 21215Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

4147 Labyrinth Rd
Baltimore, MD 21215
Phone (443) 278-9290

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1639754377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 LABYRINTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152202",
            "telephone_number": "443-838-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 LABYRINTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152202",
            "telephone_number": "443-838-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "RAKHAMIMOV",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "443-838-0007"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.