NPIMap

Organization Active NPI

Active Day MD, Inc.

Doing business as Active Day of Randallstown

  • Adult Day Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1720122674
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 Randallstown
Practice address
9637 Liberty Rd
Suite K
Randallstown, MD 21133-2452
Phone
(410) 922-8600
Fax
(410) 922-6939
NPI assigned
Feb 16, 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

9637 Liberty Rd
Suite K
Randallstown, MD 21133-2452

Mailing address

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

Other names 1

  • Active Day of Randallstown Doing business as

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
21D0996779Active Day MD Inc Dba Active Day of Randallstown9637 Liberty Road Ste K, Randallstown, MD 21133Certificate of waiverFeb 26, 2028

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

9637 Liberty Rd
Ste K
Randallstown, MD 21133
Phone (410) 922-8600

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1720122674",
    "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": "9637 LIBERTY RD",
            "address_2": "SUITE K",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332452",
            "telephone_number": "410-922-8600",
            "fax_number": "410-922-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DAY MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE DAY, INC.",
        "enumeration_date": "2007-02-16",
        "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 Randallstown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Day of Randallstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, 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.
  • 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.