Payne Memorial Outreach, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

30-018 Issued in MD

Legal business name

PAYNE MEMORIAL OUTREACH, INC.

Doing business as

Golden Doves Senior Medical Day Center

Practice address

1701 Madison Ave
Baltimore, MD 21217-3731

Phone

(410) 462-3802

Fax

(410) 728-4880

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Esther Oliver

Title

Director

Phone

(410) 462-3802

Specialties & licenses 1

Addresses

Other names 1

• Golden Doves Senior Medical Day Center Doing business as

Locations

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1508028572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MADISON AVE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173731",
            "telephone_number": "410-462-3802",
            "fax_number": "410-728-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MADISON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173731",
            "telephone_number": "410-462-3802",
            "fax_number": "410-728-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE MEMORIAL OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-462-3802",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "30-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Doves Senior Medical Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Payen, D.D.S.
• Damata Payida-Ansah, DNP, CRNP, FNP-BC
• Karla M Paylor, MD
• Ingrid Kohn Paymar, LCSW-C
• Payne Advanced Family Care LLC
• Bridget Elisabeth Payne, LCSW-C
• Ericka S Payne
• Frankie Darlene Payne, NP
• Jennifer W Payne, PHARMD
• Jessica A Payne, DAOM

• Adult Day Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.