GOLDEN MOMENTS HOME CARE, LLC (NPI# 1134617350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134617350 |
| Entity Type | Organization |
| Organization Name | GOLDEN MOMENTS HOME CARE, LLC |
| Practice Address |
201 Airways Blvd Jackson TN 38301-5800 |
| Practice Telephone | 7312177888 |
| Mailing Telephone | 7312177888 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | MS. THELMA GOLDEN WILLIAMS (OWNER) |
| Authorized Official Telephone | 7312177888 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235561036 | Golden Moments Home Care, LLC | In Home Supportive Care | 5100 Poplar Ave, Suite 2888, Memphis, TN 38137-4000 | 2013-08-02 |
| Street Address |
201 AIRWAYS BLVD |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399778 | A Plus Transportation LLC | Non-emergency Medical Transport (VAN) | 201 Airways Blvd, Jackson, TN 38301-5800 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1548890858 | Davis Healthcare Facility | In Home Supportive Care | 419 S State St Ste B100-4, Jackson, MS 39201-5005 | 2020-01-26 |
| 1104456979 | Carefree Living At Home LLC | In Home Supportive Care | 460 Briarwood Dr Ste 400-1010, Jackson, MS 39206-3051 | 2020-01-21 |
| 1164088415 | Canaan Homehealth Care | In Home Supportive Care | 17 Danielle Ct, Jackson, NJ 08527-2929 | 2019-05-13 |
| 1356801393 | Victor M Pickett | In Home Supportive Care | 227 Kilmaine Ct, Jackson, MS 39209-3651 | 2019-03-25 |
| 1902360571 | Resilience Home Care Services LLC | In Home Supportive Care | 5135 Galaxie Dr Ste E, Jackson, MS 39206-4300 | 2019-01-28 |
| 1689151789 | Sanedra Pegues | In Home Supportive Care | 4754 Dubarry Ln, Jackson, MS 39209-4929 | 2018-07-23 |
| 1548768708 | Shore Homecare Services LLC | In Home Supportive Care | 25 N County Line Rd Ste 18, Jackson, NJ 08527-1270 | 2018-01-23 |
| 1487161519 | The Journey of Knowledge | In Home Supportive Care | 2460 Terry Rd Ste 400, Jackson, MS 39204-5777 | 2018-01-10 |
| Find all providers in JACKSON | ||||
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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.