Organization Active NPI

Paradise Adult Medical Daycare

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1861529273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
12780 Issued in MD
Legal business name
PARADISE ADULT MEDICAL DAYCARE
Practice address
5613 Belair Rd # 17
Baltimore, MD 21206-3619
Phone
(410) 483-4444
Fax
(410) 483-4443
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vita Chernyakhovsky
Title
Program Director
Phone
(410) 483-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 12780 MD Primary

Addresses

Primary practice location

5613 Belair Rd # 17
Baltimore, MD 21206-3619

Mailing address

5613 Belair Rd # 17
Baltimore, MD 21206-3619
Phone (410) 483-4444

National Provider Directory

National Provider Directory

Locations

5613 Belair Rd
#17
Baltimore, MD 21206
Phone (410) 483-4444

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861529273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 BELAIR RD # 17",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063619",
            "telephone_number": "410-483-4444",
            "fax_number": "410-483-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 BELAIR RD # 17",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063619",
            "telephone_number": "410-483-4444",
            "fax_number": "410-483-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ADULT MEDICAL DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNYAKHOVSKY",
        "authorized_official_first_name": "VITA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-483-4444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "12780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.