Organization Active NPI

Eldercare of Damascus

  • Adult Day Care Clinic/Center
  • Damascus, MD
National Provider Identifier
1801166558
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ELDERCARE OF DAMASCUS
Practice address
26137 Ridge Rd
Damascus, MD 20872-1867
Phone
(301) 253-2764
Fax
(301) 253-9079
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Daniel Hiseong Chung
Title
Ceo
Phone
(301) 253-2764

Specialties & licenses 1

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

Addresses

Primary practice location

26137 Ridge Rd
Damascus, MD 20872-1867

Mailing address

26137 Ridge Rd
Damascus, MD 20872-1867
Phone (301) 253-2764

National Provider Directory

National Provider Directory

Locations

26137 Ridge Rd
Damascus, MD 20872
Phone (301) 252-5380

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1801166558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26137 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721867",
            "telephone_number": "301-253-2764",
            "fax_number": "301-253-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721867",
            "telephone_number": "301-253-2764",
            "fax_number": "301-253-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF DAMASCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HISEONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-253-2764"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.