Organization Active NPI

Maryland Medical Day Services, LLC

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1750829362
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MARYLAND MEDICAL DAY SERVICES, LLC
Practice address
2605 Banister Rd
Baltimore, MD 21215-6505
Phone
(443) 865-1129
NPI assigned
Feb 2, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Mrs. Shaunese Taylor
Title
Owner/Program Director
Phone
(443) 468-0310

Specialties & licenses 1

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

Addresses

Primary practice location

2605 Banister Rd
Baltimore, MD 21215-6505

Mailing address

2605 Banister Rd
Baltimore, MD 21215-6505
Phone (443) 865-1129

Other names 1

  • n/a Former legal business name

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
21D2124364Maryland Medical Day Services, LLC2605 Banister Road, Baltimore, MD 21215Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

2605 Banister Rd
Baltimore, MD 21215
Phone (410) 493-8819

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1750829362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BANISTER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156505",
            "telephone_number": "443-865-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BANISTER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156505",
            "telephone_number": "443-865-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAUNESE",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-468-0310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.