The Grace Medical Adult Daycare, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE GRACE MEDICAL ADULT DAYCARE, LLC

Doing business as

Grace Adult Medical Daycare

Practice address

9160 Red Branch Rd Ste E1
Columbia, MD 21045-2002

Phone

(443) 745-2110

Fax

(443) 745-4716

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Sungki Lim

Title

Director

Phone

(301) 785-6055

Specialties & licenses 1

Addresses

Other names 1

• Grace Adult Medical Daycare Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1740037134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 RED BRANCH RD STE E1",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452002",
            "telephone_number": "443-745-2110",
            "fax_number": "443-745-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 RED BRANCH RD STE E1",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452002",
            "telephone_number": "443-745-2110",
            "fax_number": "443-745-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACE MEDICAL ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SUNGKI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-785-6055"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Adult Medical Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• 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 3, 2024; 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.