ST.JOHN ADULT MEDICAL DAYCARE, INC.
NPI 1295071074
Clinic/Center - Adult Day Care in Hunt Valley, MD

NPI Status: Active since December 22, 2012

Contact Information

10947 GOLDEN WEST DR STE 200
HUNT VALLEY, MD
ZIP 21031
Phone: (410) 329-1444
Fax: (410) 329-1533

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 21D2008733
  • CLIA Cert. Type: Other - MEDICAL ADULT DAYCARE
  • CLIA Exp. Date: 06-16-2026

About ST.JOHN ADULT MEDICAL DAYCARE, INC.

This page provides the complete NPI Profile along with additional information for St.john Adult Medical Daycare, Inc., a provider established in Hunt Valley, Maryland operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1295071074 assigned on December 2012. The practitioner's primary taxonomy code is 261QA0600X with license number 03-025-A (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as St.john Adult Medical Daycare, Inc.. The authorized official of this NPI record is Amy Shinsoon Lee (Owner)

NPI
1295071074
Provider Legal Name
EDEN ADULT MEDICAL DAYCARE CENTER, INC.
Other Organization Name
ST.JOHN ADULT MEDICAL DAYCARE, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10947 GOLDEN WEST DR STE 200 HUNT VALLEY, MD 21031
Location Phone
(410) 329-1444
Location Fax
(410) 329-1533
Mailing Address
10947 GOLDEN WEST DR STE 200 HUNT VALLEY, MD 21031
Mailing Phone
(410) 329-1444
Mailing Fax
(410) 329-1533
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2012
Last Update Date
12-22-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
License No.
03-025-A
License State
MD

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY SHINSOON LEE

Authorized Official Title
OWNER
Authorized Official Phone
(410) 329-1444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2008733
Facility Type
Other - MEDICAL ADULT DAYCARE
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
DR. CATHY XIAO MING GAO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St.john Adult Medical Daycare, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295071074, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 0 + 7 + 2 + 0 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1295071074.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295071074, enumerated as an "organization" on December 22, 2012.

The provider is located at 10947 GOLDEN WEST DR STE 200 HUNT VALLEY, MD 21031 and the phone number is (410) 329-1444.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.