Active NPI
Maryland Care of Camp Springs LLC
- Adult Day Care Clinic/Center
- Camp Springs, MD
National Provider Identifier
1821475682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 16008A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2135809 | Maryland Care of Camp Springs LLC | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.