GOLDEN AGE CARE LLC (NPI# 1205273943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205273943 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE CARE LLC |
| Practice Address |
716 Red Lion Rd Philadelphia PA 19115-1307 |
| Practice Telephone | 2156773100 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MICHAEL KALLUSH (DIRECTOR) |
| Authorized Official Telephone | 2156773100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
315144 | PA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061446 | Golden Age Care LLC | Case Management | 2721 Sw 137th Ave Ste 102, Miami, FL 33175-6355 | 2016-09-14 |
| 1750686291 | Golden Age Care LLC | Clinic/Center | 209 Commercial Ct, Morganville, NJ 07751-1061 | 2011-01-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GOLDEN AGE CARE LLC | 3511 236th St Se, Bothell, WA 98021 |
| Street Address |
716 RED LION RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1801134648 | Just One Nurse | Custodial Care Facility | 5425 Wynnefield Ave, Philadelphia, PA 19131-1323 | 2013-01-29 |
| 1174839815 | Harmonynest Inc | Custodial Care Facility | 2833 Jackson St, Philadelphia, PA 19145-2426 | 2010-08-19 |
| 1568629434 | Brittany Manor Lp | Custodial Care Facility | 230 N 65th St, Philadelphia, PA 19139-1006 | 2008-05-19 |
| 1538538608 | Gentle Care Nursing Service, Inc | Custodial Care Facility | 2479 78th Ave, Philadelphia, PA 19150-1824 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| 1023363686 | Rebecca's Personal Care Home Inc | Custodial Care Facility | 118 Masters Ave, Everett, PA 15537-1216 | 2012-07-19 |
| 1316252638 | Sunny Crest Home | Custodial Care Facility | 2587 Valley View Rd, Morgantown, PA 19543-9102 | 2010-08-11 |
| 1164755625 | Lori Decarlo | Custodial Care Facility | 696a Lenni Rd, Aston, PA 19014-1066 | 2009-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
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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.