Organization Active NPI

Ravens Medical Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1457574907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
RAVENS MEDICAL ADULT DAY CARE CENTER
Practice address
1821 N Smallwood St
Baltimore, MD 21216-3724
Phone
(410) 225-7888
Fax
(410) 225-0033
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Edna Evans
Title
Ceo
Phone
(410) 225-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1821 N Smallwood St
Baltimore, MD 21216-3724

Mailing address

1821 N Smallwood St
Baltimore, MD 21216-3724
Phone (410) 225-7888

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457574907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N SMALLWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163724",
            "telephone_number": "410-225-7888",
            "fax_number": "410-225-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N SMALLWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163724",
            "telephone_number": "410-225-7888",
            "fax_number": "410-225-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENS MEDICAL ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-225-7888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.