NPIMap

Organization Active NPI

Ccacc Adult Day Healthcare Center

  • Adult Day Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1730337304
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CCACC ADULT DAY HEALTHCARE CENTER
Practice address
9366 Gaither Rd
Gaithersburg, MD 20877-1416
Phone
(301) 820-7200
Fax
(240) 823-6060
NPI assigned
Sep 8, 2008
Organization subpart
Yes
Parent organization
CHINESE CULTURE AND COMMUNITY SERVICE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Ned Li
Title
Center Director
Phone
(301) 820-7188

Specialties & licenses 1

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

Addresses

Primary practice location

9366 Gaither Rd
Gaithersburg, MD 20877-1416

Mailing address

9366 Gaither Rd
Gaithersburg, MD 20877-1416
Phone (301) 820-7200

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
21D1093752Ccacc Adult Day Healthcare Center9366 Gaither Road, Gaithersburg, MD 20877Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pan Asian Volunteer Health Clinic8 organizations share this tax ID, including this one
Part of
Pan Asian Volunteer Health Clinic

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1730337304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9366 GAITHER RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771416",
            "telephone_number": "301-820-7200",
            "fax_number": "240-823-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9366 GAITHER RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771416",
            "telephone_number": "301-820-7200",
            "fax_number": "240-823-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCACC ADULT DAY HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHINESE CULTURE AND COMMUNITY SERVICE CENTER, INC.",
        "enumeration_date": "2008-09-08",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "301-820-7188"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.