Active NPI
Goldie's Adult Medical Daycare Inc.
- Adult Day Care Clinic/Center
- Baltimore, MD
National Provider Identifier
1962111930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- GOLDIE'S ADULT MEDICAL DAYCARE INC.
- Practice address
- 4328 Ritchie Hwy
Baltimore, MD 21225-2747 - Phone
- (410) 302-8700
- NPI assigned
- Nov 18, 2022
- 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
- Mr. Marc A Randall Sr.
- Title
- Owner
- Phone
- (410) 302-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
4328 Ritchie Hwy
Baltimore, MD 21225-2747
Mailing address
4328 Ritchie Hwy
Baltimore, MD 21225-2747
Phone (410) 302-8700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2273147 | Goldie's Adult Medical Daycare Inc | Certificate of waiver | Dec 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
4328 Ritchie Hwy
Baltimore, MD 21225
Phone (410) 302-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1962111930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 RITCHIE HWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212252747",
"telephone_number": "410-302-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 RITCHIE HWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212252747",
"telephone_number": "410-302-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDIE'S ADULT MEDICAL DAYCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-302-8700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"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 Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.