Organization Active NPI

Juel's Adult Day Care, Inc.

  • Skilled Nursing Facility
  • Towson, MD
National Provider Identifier
1750504320
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12788 Issued in MD
Legal business name
JUEL'S ADULT DAY CARE, INC.
Practice address
100 West Rd
Suite 358
Towson, MD 21204-2331
Phone
(410) 494-1906
Fax
(410) 494-1945
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Joan Howell
Title
Vice President
Phone
(410) 367-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12788 MD Primary

Addresses

Primary practice location

100 West Rd
Suite 358
Towson, MD 21204-2331

Mailing address

3401 Edgewood Rd
Baltimore, MD 21215-7320
Phone (410) 367-8802

Other identifiers 1

IdentifierTypeStateIssuer
817772400MedicaidMD

National Provider Directory

National Provider Directory

Locations

3401 Edgewood Rd
Baltimore, MD 21215

100 West Rd
Ste 358
Towson, MD 21204
Phone (410) 494-1906

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1750504320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 EDGEWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157320",
            "telephone_number": "410-367-8802",
            "fax_number": "410-367-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD",
            "address_2": "SUITE 358",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042331",
            "telephone_number": "410-494-1906",
            "fax_number": "410-494-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUEL'S ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-367-8802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817772400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.