1700261062 NPI number — NEW DAY HEALTH SYSTEMS, INC.

Table of content: (NPI 1700261062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700261062 NPI number — NEW DAY HEALTH SYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW DAY HEALTH SYSTEMS, 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:
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:
1700261062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
611 FREDERICK RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CATONSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21228-4779
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-744-4579
Provider Business Mailing Address Fax Number:
410-774-4253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
611 FREDERICK RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATONSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21228-4779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-744-4279
Provider Business Practice Location Address Fax Number:
410-744-4253
Provider Enumeration Date:
07/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ODEWALE
Authorized Official First Name:
RILWAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
410-744-4579

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  0340951011893 , 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: 423890700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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