NPIMap

Organization Active NPI

Team 3 Inc

  • Adult Day Care Clinic/Center
  • Columbia, MD
National Provider Identifier
1811278443
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TEAM 3 INC
Practice address
9075 Guilford Rd
Columbia, MD 21046-3145
Phone
(443) 276-3088
Fax
(443) 276-3095
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Eric Rakhamimov
Title
President
Phone
(443) 220-5356

Specialties & licenses 1

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

Addresses

Primary practice location

9075 Guilford Rd
Columbia, MD 21046-3145

Mailing address

9075 Guilford Rd
Columbia, MD 21046-3145
Phone (443) 276-3088

Other names 1

  • Long Life Adult Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long Life Adult Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1811278443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 GUILFORD RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463145",
            "telephone_number": "443-276-3088",
            "fax_number": "443-276-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 GUILFORD RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463145",
            "telephone_number": "443-276-3088",
            "fax_number": "443-276-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "RAKHAMIMOV",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-220-5356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Life Adult Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.