NPIMap

Organization Active NPI

Senior Smart, LLC

  • Durable Medical Equipment & Medical Supplies
  • Eldersburg, MD
National Provider Identifier
1659655413
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SENIOR SMART, LLC
Practice address
1430 Progress Way Ste 105
Eldersburg, MD 21784-6461
Phone
(410) 259-6622
Fax
(443) 973-1012
NPI assigned
Sep 28, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Daniel Mack, OTRNPI 1588965701
Title
President
Phone
(410) 259-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1430 Progress Way Ste 105
Eldersburg, MD 21784-6461

Mailing address

1430 Progress Way Ste 105
Eldersburg, MD 21784-6461
Phone (410) 259-6622

Other practice location 1

2340 Southfield Ct
Finksburg, MD 21048-2256
Phone (410) 259-6622

Other practice location 2

2340 Southfield Ct
Finksburg, MD 21048-2256
Phone (410) 259-6622

National Provider Directory

National Provider Directory

Locations

1430 Progress Way
Ste 105
Eldersburg, MD 21784
Phone (410) 259-6622

Practitioners & affiliated clinicians

Practitioners 2

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1659655413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 PROGRESS WAY STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846461",
            "telephone_number": "410-259-6622",
            "fax_number": "443-973-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PROGRESS WAY STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846461",
            "telephone_number": "410-259-6622",
            "fax_number": "443-973-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Southfield Ct",
            "address_purpose": "LOCATION",
            "city": "Finksburg",
            "state": "MD",
            "postal_code": "210482256",
            "country_code": "US",
            "telephone_number": "410-259-6622",
            "fax_number": "410-526-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Southfield Ct",
            "address_purpose": "LOCATION",
            "city": "Finksburg",
            "state": "MD",
            "postal_code": "210482256",
            "country_code": "US",
            "telephone_number": "410-259-6622",
            "fax_number": "410-526-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR SMART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-259-6622",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.