GOLDEN AGE HOME HEALTH CORP (NPI# 1336681857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336681857 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE HOME HEALTH CORP |
| Practice Address |
1117 W Pioneer Pkwy Ste 100b Arlington TX 76013-6398 |
| Practice Telephone | 8176178016 |
| Practice Fax Number | 8174593314 |
| Mailing Telephone | 8176178016 |
| Mailing Fax Number | 8174593314 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | AGNES STURGEON (ADMINISTRATOR) |
| Authorized Official Telephone | 8175017727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1117 W PIONEER PKWY STE 100B |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76013-6398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573195 | 4west Care & Logistics | Home Health | 833 Underhill Dr, Arlington, TX 76002-5041 | 2020-09-19 |
| 1114536117 | Above All Care LLC | Home Health | 8005 Hat Creek Ct, Arlington, TX 76002-4186 | 2020-07-24 |
| 1790301224 | Blossom Agency | Home Health | 209 Chasemore Ln, Arlington, TX 76018-1084 | 2020-06-20 |
| 1649895327 | Universal Care Services LLC | Home Health | 708 S Ivy St, Arlington, VA 22204-2431 | 2020-06-09 |
| 1346861655 | Intelacare Pbc | Home Health | 2200 Wilson Blvd Ste 102-205, Arlington, VA 22201-3397 | 2020-04-28 |
| 1609401199 | The Salomia Group LLC | Home Health | 2714 Trinity Bend Cir Apt 714, Arlington, TX 76006-3938 | 2020-03-05 |
| 1851921035 | Mego Inc | Home Health | 870 S Greenbrier St Apt 607, Arlington, VA 22204-6049 | 2020-01-16 |
| 1891332763 | Glorious Home Care Service LLC | Home Health | 5637 Indian Hill Dr, Arlington, TX 76018-2428 | 2019-12-10 |
| 1962048942 | Lhcg Cxxxvii, LLC | Home Health | 2225 E Randol Mill Rd Ste 400, Arlington, TX 76011-6324 | 2019-11-25 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| Find all providers in ARLINGTON | ||||
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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.