Organization Active NPI

Milbrook Circle of Friends Adhc

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1679673693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MILBROOK CIRCLE OF FRIENDS ADHC
Practice address
4398 Crest Heights Rd
Baltimore, MD 21215
Phone
(410) 580-9099
Fax
(410) 580-9098
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ellen Vezel
Title
Program Director
Phone
(410) 580-9099

Specialties & licenses 1

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

Addresses

Primary practice location

4398 Crest Heights Rd
Baltimore, MD 21215

Mailing address

4398 Crest Heights Rd
Baltimore, MD 21215
Phone (410) 580-9099

National Provider Directory

National Provider Directory

Locations

4398 Crest Heights Rd
Baltimore, MD 21215
Phone (410) 580-9099

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679673693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4398 CREST HEIGHTS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-580-9099",
            "fax_number": "410-580-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4398 CREST HEIGHTS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-580-9099",
            "fax_number": "410-580-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILBROOK CIRCLE OF FRIENDS ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEZEL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-580-9099"
    },
    "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 Aug 22, 2020; 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.