ACTIVE DAY OF RANDALLSTOWN
NPI 1720122674
Clinic/Center - Adult Day Care in Randallstown, MD

Q: What is Active Day MD, Inc.'s NPI number?

The NPI number for Active Day MD, Inc. is 1720122674. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Active Day Of Randallstown.

Q: What is Active Day MD, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since February 16, 2007CLIA 21D0996779 · Waiver

9637 LIBERTY RD, SUITE K, RANDALLSTOWN, MD 21133(410) 922-8600(410) 922-6939 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Active Day Of Randallstown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE DAY OF RANDALLSTOWN (NPI 1720122674) is a healthcare organization registered as an adult day care in Randallstown, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Robert Creamer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720122674

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameACTIVE DAY MD, INC.

Location Address9637 LIBERTY RD, SUITE KRandallstown, MD 21133-2452

Mailing Address6 Neshaminy Interplex Dr Ste 401Trevose, PA 19053-6942 · (215) 642-6600 · Fax (215) 642-6610

Phone(410) 922-8600

Fax(410) 922-6939

Organization SubpartYesParent: Active Day, Inc.

Authorized OfficialRobert CreamerCeo · (215) 642-6600

Enumeration DateFebruary 16, 2007

Last NPPES UpdateMay 22, 2019

✔ NPI 1720122674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

9637 LIBERTY RD, Randallstown, MD 21133

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Other Names 1

Doing Business AsActive Day Of Randallstown

Other Identifiers 1

Medicaid408435700MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0996779

Active Day MD Inc Dba Active Day Of Randallstown · Randallstown, MD

Active · expires Feb 26, 2028

CLIA Number21D0996779

Laboratory TypeAdult Day Medical Center

Certificate Effective DateFebruary 27, 2026

Certificate Expiration DateFebruary 26, 2028

Laboratory DirectorDr. Brian C. Wallace

Laboratory Phone(410) 922-8600

Laboratory LocationActive Day MD Inc Dba Active Day Of Randallstown9637 Liberty Road Ste K, Randallstown, MD 21133

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTINA A. MORGAN PTA

Physical Therapy Assistant

9637 LIBERTY RD, SUITE K
RANDALLSTOWN, MD 21133

Baltimore County (410) 922-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Day MD, Inc.'s NPI number?

The NPI number for Active Day MD, Inc. is 1720122674. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Active Day Of Randallstown.

Where is Active Day MD, Inc. located?

Active Day MD, Inc. is located at 9637 Liberty Rd Suite K, Randallstown, MD 21133. The listed phone number is (410) 922-8600.

What is Active Day MD, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Active Day MD, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0996779) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Day MD, Inc. was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.