Greenlake Adult Medical Daycare Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GREENLAKE ADULT MEDICAL DAYCARE SERVICES LLC

Practice address

224 Phillip Morris Dr Ste 106
Salisbury, MD 21804-1909

Phone

(443) 303-7378

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Dhannie, RNNPI 1376321646

Title

Program Director

Phone

(443) 303-7378

Specialties & licenses 1

Addresses

Other names 1

• Greenlake Adult Medical Daycare Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Ibukunola Dhannie, RN

  • Registered Nurse
  • Odenton, MD
  • NPI 1376321646
  NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1881480911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 HOODS MILL CT APT 401",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133917",
            "telephone_number": "443-303-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PHILLIP MORRIS DR STE 106",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041909",
            "telephone_number": "443-303-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLAKE ADULT MEDICAL DAYCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "DHANNIE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-303-7378",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenlake Adult Medical Daycare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Tyler Green, PHARMD
• Lana R Green, P.T.
• Matthew Green, PA-C
• Patrice Green, M.D.
• Danita Anne Greene, LPTA
• Jeffrey T Greenwood, MD
• Greg Felthousen, DDS, Ms, LLC
• Andrea Greiner
• Douglas Edward Greiner
• Ali Heather Griffin, PA-C

• Adult Day Care Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.