RAVENS MEDICAL ADULT DAY CARE CENTER (NPI# 1457574907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457574907 |
| Entity Type | Organization |
| Organization Name | RAVENS MEDICAL ADULT DAY CARE CENTER |
| Practice Address |
1821 N Smallwood St Baltimore MD 21216-3724 |
| Practice Telephone | 4102257888 |
| Practice Fax Number | 4102250033 |
| Mailing Telephone | 4102257888 |
| Mailing Fax Number | 4102250033 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. EDNA EVANS (CEO) |
| Authorized Official Telephone | 4102257888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
1821 N SMALLWOOD ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629216536 | Aaa Management, LLC | Clinic/Center | 1821 N Smallwood St, Baltimore, MD 21216-3724 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1720619356 | Change Agent Network Africa,inc. | Clinic/Center | 4801 Sipple Ave, Baltimore, MD 21206-5605 | 2020-02-02 |
| 1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1619494242 | Baltimore Adult Medical Day Care | Clinic/Center | 1109 Ingleside Ave, Baltimore, MD 21207-4735 | 2017-08-24 |
| 1669735445 | A Providence Medical Adult Day Care Inc | Clinic/Center | 800 S Caton Ave, Baltimore, MD 21229-4210 | 2012-06-18 |
| 1053681775 | Golden Days Medical Day Care Inc | Clinic/Center | 4601 Hollins Ferry Rd Ste C, Baltimore, MD 21227-4625 | 2012-01-11 |
| 1568756807 | Quality Life Day Services Inc | Clinic/Center | 1200 Steuart St Unit 1413, Baltimore, MD 21230-5392 | 2011-06-03 |
| 1083912406 | Levels Adult Day Care | Clinic/Center | 210 W. 28th St., Baltimore, MD 21211 | 2011-03-09 |
| 1255642138 | Team 2 | Clinic/Center | 4147 Labyrinth Rd, Baltimore, MD 21215-2202 | 2010-06-25 |
| 1508028572 | Payne Memorial Outreach, Inc. | Clinic/Center | 1701 Madison Ave, Baltimore, MD 21217-3731 | 2008-06-30 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.