ACTIVE DAY OF BALTIMORE
NPI 1760523542
Clinic/Center - Adult Day Care in Baltimore, MD

Active since February 12, 2007CLIA 21D1052212 · Waiver
1430 JOH AVE STE A, BALTIMORE, MD 21227(410) 242-0379 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Day Of Baltimore NPPES

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

ACTIVE DAY OF BALTIMORE (NPI 1760523542) is a healthcare organization registered as an adult day care in Baltimore, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Robert Creamer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760523542
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameACTIVE DAY MD, INC.
Location Address1430 JOH AVE STE ABaltimore, MD 21227-1037
Mailing Address6 Neshaminy Interplex Dr Ste 401Trevose, PA 19053-6942 · (215) 642-6600 · Fax (215) 642-6610
Organization SubpartYesParent: Active Day, Inc.
Authorized OfficialRobert CreamerCeo · (215) 642-6600
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 22, 2019
NPI 1760523542 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
1430 JOH AVE STE A, Baltimore, MD 21227

Other Names 1

Doing Business AsActive Day Of Baltimore

Other Identifiers 1

Medicaid409532400MD

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 21D1052212

Active Day MD Inc/Active Day Of Baltimore · Baltimore, MD
Active · expires Sep 16, 2027
CLIA Number21D1052212
Laboratory TypeMedical Adult Day Center
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDr. Brian C. Wallace
Laboratory Phone(410) 242-0379
Laboratory LocationActive Day MD Inc/Active Day Of Baltimore1430 Joh Avenue Ste A, Baltimore, MD 21227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1760523542. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Active Day Of Baltimore.

Where is Active Day MD, Inc. located?

Active Day MD, Inc. is located at 1430 Joh Ave Ste A, Baltimore, MD 21227. The listed phone number is (410) 242-0379.

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 21D1052212) is associated with this NPI, valid through September 16, 2027. 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.