NPIMap

Organization Active NPI

Church Harbor Hospital Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1881758266
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CHURCH HARBOR HOSPITAL ADULT DAY HEALTH CENTER
Practice address
111 Cherry Hill Rd
Baltimore, MD 21225-1207
Phone
(410) 350-3289
NPI assigned
Dec 20, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Nancy Butler
Title
VP
Phone
(410) 350-3289

Specialties & licenses 1

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

Addresses

Primary practice location

111 Cherry Hill Rd
Baltimore, MD 21225-1207

Mailing address

8020 Corporate Dr
Baltimore, MD 21236-4978

Other identifiers 1

IdentifierTypeStateIssuer
262100200MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Rifat K Abousy MD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1881758266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CORPORATE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251207",
            "telephone_number": "410-350-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HARBOR HOSPITAL ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "410-350-3289"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262100200",
            "state": "MD"
        }
    ],
    "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 Feb 14, 2012; 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.