Healthy Life Adult Medical Day Center, LLC
Clinic/Center, Adult Day Care in Baltimore, MD. Organization (NPI-2).
NPI number1891308243
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1891308243
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthy Life Adult Medical Day Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2020
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
401 Reisterstown RdBaltimore, MD 21208-5320
Phone 443-858-7935
Mailing address
401 Reisterstown RdBaltimore, MD 21208-5320
Authorized official
Elena Kuperman
Owner
4438587935
Is something wrong?
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