Medclub Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

30025A Issued in MD

Legal business name

MEDCLUB ADULT DAY CARE

Practice address

5610 Harford Rd
Baltimore, MD 21214-2247

Phone

(410) 254-3000

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Samia El Baroudy

Title

Program Director

Phone

(443) 935-0045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1770909871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142247",
            "telephone_number": "410-254-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142247",
            "telephone_number": "410-254-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCLUB ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "EL BAROUDY",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-935-0045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "30025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail R Meckes, PA-C
• Christopher Anthony Mecoli, M.D.
• Med, LLC
• G Robert Medalie, MD
• Medcity Family Clinic LLC
• Mariam Meddeb
• Meddirect Transport LLC
• Medease LLC
• Medhealth Companies LLC
• Medi-Rents & Sales, Inc.

• Adult Day Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, 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 Mar 13, 2014; 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.