Active NPI
Golden Memories LLC
- Registered Nurse
- Baltimore, MD
National Provider Identifier
1316812605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- GOLDEN MEMORIES LLC
- Practice address
- 6340 Security Blvd Ste 100
Baltimore, MD 21207-5284 - Phone
- (443) 522-1167
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raynell Bennett, RN
- Title
- Coo
- Phone
- (443) 522-1167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Mailing address
6340 Security Blvd
Suite 100 #1177
Baltimore, MD 21207
Phone (443) 522-1167
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1316812605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD",
"address_2": "SUITE 100 #1177",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21207",
"telephone_number": "443-522-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075284",
"telephone_number": "443-522-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN MEMORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "RAYNELL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "443-522-1167",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Golden Assisted Living LLC
- Golden Child ABA LLC
- Golden Days Medical Day Care Inc
- Golden Era Wellness Center LLC
- Golden Hands Homecare Inc
- Golden Path Living
- Golden Pond Adult Day Program, Inc.
- Golden Touch ABA MD, LLC (Golden Touch ABA)
- Golden Touch Family Homecare LLC/Dba Nurse Next Door (Nurse Next Door)
- Golden Years Homecare LLC Dba Comfort Keepers Baltimore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.