Organization Active NPI

Maryland Care of Camp Springs LLC

  • Adult Day Care Clinic/Center
  • Camp Springs, MD
National Provider Identifier
1821475682
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
16008A Issued in MD
Legal business name
MARYLAND CARE OF CAMP SPRINGS LLC
Practice address
4703 Old Soper Road
Suite R-1
Camp Springs, MD 20746
Phone
(240) 716-3649
Fax
(240) 716-3672
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mrs. Khanh-Linh Flynn
Title
Managing Partner
Phone
(240) 716-3649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MD
Adult Day Care Clinic/Center 261QA0600X 16008A MD Primary

Addresses

Primary practice location

4703 Old Soper Road
Suite R-1
Camp Springs, MD 20746

Mailing address

4703 Old Soper Road
Suite R-1
Camp Springs, MD 20746
Phone (240) 716-3649

Other names 1

  • Maryland Care Adult Medical Day Services Doing business as

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
21D2135809Maryland Care of Camp Springs LLC4703 Old Soper Road R-1, Camp Springs, MD 20746Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1821475682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER ROAD",
            "address_2": "SUITE R-1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "240-716-3649",
            "fax_number": "240-427-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER ROAD",
            "address_2": "SUITE R-1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "240-716-3649",
            "fax_number": "240-716-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CARE OF CAMP SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KHANH-LINH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "240-716-3649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "16008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Care Adult Medical Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.