Organization Active NPI

Goldie's Adult Medical Daycare Inc.

  • Adult Day Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1962111930
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Nov 18, 2022

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2273147Goldie's Adult Medical Daycare Inc4328 Ritchie Hwy, Baltimore, MD 21225Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.