GOLDEN AGE SENIOR CARE HOSPITAL, LLC (NPI# 1518998020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518998020 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE SENIOR CARE HOSPITAL, LLC |
| Practice Address |
4310 S Grand St Monroe LA 71202-6322 |
| Mailing Address |
Po Box 6 Bastrop LA 71221-0006 |
| Practice Telephone | 3186510920 |
| Practice Fax Number | 3186510921 |
| Mailing Telephone | 3185568000 |
| Mailing Fax Number | 3185561197 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | WALTER O BIGBY (ADMINISTRATOR) |
| Authorized Official Telephone | 3186510920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 540 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS OF LOUISIANA | 190061362Z | 01 |
| LA | 1709531 | 05 |
| Street Address |
4310 S GRAND ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846050 | Premier Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4310 S Grand St, Monroe, LA 71202-6322 | 2005-07-22 |
| 1770113367 | Jamaal Jackson | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-22 |
| 1679113997 | Richard Lee Dantzler | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-14 |
| 1881234441 | Alexis Harvey | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-13 |
| 1437799095 | Cambra Smith | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-13 |
| 1396385837 | Cynthia Marie Walker | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-13 |
| 1346880853 | Keatrice Brown | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-13 |
| 1275173882 | Elaina Presley | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-11 |
| 1134769136 | Jashontra Takia Slaughter | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2020-01-08 |
| 1396384020 | Linda Henderson | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2019-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1407207863 | Allegiance Health Center of Ruston LLC | Psychiatric Hospital | 3421 Medical Park Drive, Monroe, LA 71203 | 2016-06-28 |
| 1821318221 | Booker T Community Outreach Project | Psychiatric Hospital | 1411 Sherrouse Street, Monroe, LA 71203 | 2010-06-08 |
| 1578574471 | Cypress Grove Behavioral Health LLC | Psychiatric Hospital | 414 Pine St, Monroe, LA 71201-6228 | 2006-08-10 |
| 1073069944 | Vest Monroe, LLC | Psychiatric Hospital | 709 Breedlove Dr, Monroe, GA 30655 | 2016-08-30 |
| 1922097369 | St. Patrick Hospital | Psychiatric Hospital | 309 Jackson St, Monroe, LA 71201-7407 | 2005-10-18 |
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| 1467019000 | Universal Behavioral Health Hospital Inc | Psychiatric Hospital | 800 S Oak St, Hammond, LA 70403-4938 | 2019-05-20 |
| 1356869820 | Highland Wellness Center, LLC | Psychiatric Hospital | 1513 Line Ave Ste 345, Shreveport, LA 71101-4621 | 2017-09-06 |
| 1891234597 | Janice Hollier M.d. | Psychiatric Hospital | 1002 Highland Ave Ste 201, Shreveport, LA 71101-4143 | 2017-02-15 |
| 1326593898 | Lake Pines Hospital, LLC | Psychiatric Hospital | 3639 Loyola Ave., Kenner, LA 70065 | 2016-08-24 |
| 1720437684 | Compass Rehab Dba Compass Mental Health | Psychiatric Hospital | 317 N Ave L, Crowley, LA 70526-4438 | 2016-06-10 |
| 1184044430 | Springlake Behavioral Health Bunkie LLC | Psychiatric Hospital | 323 Evergreen St Ste B, Bunkie, LA 71322-1307 | 2014-04-24 |
| 1417294497 | Tanshi, LLC | Psychiatric Hospital | 960 Highway 171, Stonewall, LA 71078-9594 | 2013-01-10 |
| 1225388507 | Compass Behavioral Center of Alexandria, LLC | Psychiatric Hospital | 6410 Masonic Drive, Alexandria, LA 71301 | 2012-09-14 |
| 1497015622 | Compass Behavioral Center of Houma, LLC | Psychiatric Hospital | 4701 W Park Ave, Houma, LA 70364 | 2012-05-22 |
| 1902164619 | Compass Behavioral Center LLC | Psychiatric Hospital | 312 Youngsville Hwy, Lafayette, LA 70508 | 2012-05-01 |
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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.