Organization Active NPI

Dorchester County Commission on the Aging, Inc

Doing business as Pleasant Day Medical Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Cambridge, MD
National Provider Identifier
1952509218
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DORCHESTER COUNTY COMMISSION ON THE AGING, INC
Doing business as
Pleasant Day Medical Adult Day Care Center
Practice address
2474 Cambridge Beltway
Cambridge, MD 21613-3679
Phone
(410) 228-0190
Fax
(410) 221-8064
NPI assigned
Jul 10, 2007
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Mrs. Jackie J Vickers
Title
Executive Director
Phone
(410) 228-0190

Specialties & licenses 1

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

Addresses

Primary practice location

2474 Cambridge Beltway
Cambridge, MD 21613-3679

Mailing address

2474 Cambridge Beltway
Cambridge, MD 21613-3679
Phone (410) 228-0190

Other identifiers 1

IdentifierTypeStateIssuer
273463000MedicaidMD

Other names 1

  • Pleasant Day Medical Adult Day Care Center 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
21D0889872Pleasant Day Adult Day Care Center2474 Cambridge Beltway, Cambridge, MD 21613Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dorchester County Commission on the Aging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2474 Cambridge Beltway
Cambridge, MD 21613
Phone (410) 228-0190

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1952509218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 CAMBRIDGE BELTWAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133679",
            "telephone_number": "410-228-0190",
            "fax_number": "410-221-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 CAMBRIDGE BELTWAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133679",
            "telephone_number": "410-228-0190",
            "fax_number": "410-221-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY COMMISSION ON THE AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-228-0190",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "273463000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Day Medical Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pleasant Day Medical Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.