1245643337 NPI number — AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.

Table of content: (NPI 1245643337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245643337 NPI number — AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245643337
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5999 HARPERS FARM RD
Provider Second Line Business Mailing Address:
SUITE E-250
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-3013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-319-5010
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8980 OLD ANNAPOLIS RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21045-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-319-5010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MATHEW
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
443-718-7031

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 422862600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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