NPIMap

Organization Active NPI

Active Day MD, Inc.

Doing business as Active Day of Timonium

  • Adult Day Care Clinic/Center
  • Timonium, MD
National Provider Identifier
1710029525
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVE DAY MD, INC.
Doing business as
Active Day of Timonium
Practice address
1840 York Rd
Suite H
Timonium, MD 21093-5121
Phone
(410) 560-6717
Fax
(410) 560-6719
NPI assigned
Feb 12, 2007
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE DAY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Robert Creamer
Title
Ceo
Phone
(215) 642-6600

Specialties & licenses 1

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

Addresses

Primary practice location

1840 York Rd
Suite H
Timonium, MD 21093-5121

Mailing address

6 Neshaminy Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600

Other names 1

  • Active Day of Timonium Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Day MD Inc9 organizations share this tax ID, including this one
Part of
Active Day

Other organizations with this tax ID 8

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

Locations

1840 York Rd
Ste H
Timonium, MD 21093
Phone (410) 560-6717

Practitioners & affiliated clinicians

Practitioners 1

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1710029525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX DR STE 401",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536942",
            "telephone_number": "215-642-6600",
            "fax_number": "215-642-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 YORK RD",
            "address_2": "SUITE H",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935121",
            "telephone_number": "410-560-6717",
            "fax_number": "410-560-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-642-6600"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Day of Timonium",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Day of Timonium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.