LIFEWAY ADULT MEDICAL DAY CENTER LLC NPI 1407361660

NPI Information

NPI: 1407361660
Provider Name: LIFEWAY ADULT MEDICAL DAY CENTER, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 21D2141151

Address:
30 NEW PLANT CT
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 929-1478
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LIFEWAY ADULT MEDICAL DAY CENTER, LLC is an adult day care clinic center in Owings Mills, MD. LIFEWAY ADULT MEDICAL DAY CENTER, LLC NPI is 1407361660. The provider is registered as an organization entity type.

The provider's business location address is:

30 NEW PLANT CT
OWINGS MILLS, MD
ZIP 21117-514
Phone: (443) 929-1478

The provider's authorized official is Alex Berezin .
The authorized official title is Manager and has the following contact phone number (443) 929-1478.

The CLIA number assigned to this NPI record is 21D2141151 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 12/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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