NPIMap

Organization Active NPI

Activities Adult Medical Daycare LLC.

Doing business as Activities Adult Medical Daycare

  • Adult Day Care Clinic/Center
  • Windsor Mill, MD
National Provider Identifier
1750908133
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ACTIVITIES ADULT MEDICAL DAYCARE LLC.
Doing business as
Activities Adult Medical Daycare
Practice address
2622 Lord Baltimore Dr Ste a
Windsor Mill, MD 21244-2639
Phone
(443) 629-0696
NPI assigned
Jul 1, 2020
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Asya BussieNPI 1396236790
Title
Owner
Phone
(443) 629-0696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X NU
Adult Day Care Clinic/Center 261QA0600X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

2622 Lord Baltimore Dr Ste a
Windsor Mill, MD 21244-2639

Mailing address

2622 Lord Baltimore Dr Ste a
Windsor Mill, MD 21244-2639

Other names 1

  • Activities Adult Medical Daycare Doing business as

National Provider Directory

National Provider Directory

Locations

2622 Lord Baltimore Dr
Ste A
Windsor Mill, MD 21244
Phone (443) 629-0696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1750908133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 LORD BALTIMORE DR STE A",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 LORD BALTIMORE DR STE A",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442639",
            "telephone_number": "443-629-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVITIES ADULT MEDICAL DAYCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BUSSIE",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-629-0696"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activities Adult Medical Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.