Healthcare Provider Details

I. General information

NPI: 1336081041
Provider Name (Legal Business Name): GREENLAND MEDICAL ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 NEW PLANT CT
OWINGS MILLS MD
21117-3525
US

IV. Provider business mailing address

1 STEEPLEJACK CT
OWINGS MILLS MD
21117-5202
US

V. Phone/Fax

Practice location:
  • Phone: 301-549-8828
  • Fax:
Mailing address:
  • Phone: 301-549-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HABTAMU HAILU TAFA
Title or Position: OWNER
Credential:
Phone: 301-549-8828