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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2023
- 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. Jackie J Vickers
- Title
- Executive Director
- Phone
- (410) 228-0190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273463000 | Medicaid | MD |
Other names 1
- Pleasant Day Medical Adult Day Care Center
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 |
|---|---|---|---|
| 21D0889872 | Pleasant Day Adult Day Care Center | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Dorchester County Commission on the Aging Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pleasant Place
- Community/Behavioral Health Agency
- Cambridge, MD
- NPI 1568662989
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
- Lakesha Denise Dobbins
- Mary Layuna Doege
- Ryan Patrick Dolan, PT, DPT
- Dorchester County Behavioral Health - MH
- Dorchester County Commission on the Aging, Inc (Pleasant Place)
- Dorchester County Commissioners (Neck District VFC)
- Dorchester County Commissioners (Dorchester County EMS)
- Dorchester County Drug and Alcohol Health Services
- Dorchester County Family Young Men's Christian Association, Inc. (Dorchester Family YMCA)
- Dorchester County Health Department
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.