Active Day MD, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ACTIVE DAY MD, INC.

Practice address

9637 Liberty Rd
Suite K
Randallstown, MD 21133-2452

Phone

(410) 922-8600

Fax

(410) 922-6939

NPI assigned

Feb 16, 2007

Organization subpart

Yes

Parent organization

ACTIVE DAY, INC.As reported in NPPES

Name

Robert Creamer

Title

Ceo

Phone

(215) 642-6600

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Active Day MD Inc9 organizations share this tax ID, including this one

Part of

Active Day Inc

Other organizations with this tax ID 8

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

• Active Day MD, Inc

  • Adult Day Care Clinic/Center
  • Owings Mills, MD
  • NPI 1518056779
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Pasadena, MD
  • NPI 1235271099
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Arbutus, MD
  • NPI 1427199330
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Elkridge, MD
  • NPI 1487798328
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Dundalk, MD
  • NPI 1689715526
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Belcamp, MD
  • NPI 1710028568
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Timonium, MD
  • NPI 1710029525
  NPD tax ID
• Active Day MD, Inc.

  • Adult Day Care Clinic/Center
  • Baltimore, MD
  • NPI 1760523542
  NPD tax ID

Locations

• Active Day of Randallstown Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2019.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408435700",
            "state": "MD"
        }
    ],
    "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"
        }
    ]
}

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• All providers in Randallstown, MD
• Adult Day Care Clinic/Center in Maryland

• 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.