GOLDEN AGE ADULT DAY CENTER INC


Address: 417 Callowhill St, Philadelphia, PA 19123-4025
Phone: 2156003633

GOLDEN AGE ADULT DAY CENTER INC (NPI# 1912250887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912250887
Entity Type Organization
Organization Name GOLDEN AGE ADULT DAY CENTER INC
Practice Address 417 Callowhill St
Philadelphia
PA 19123-4025
Practice Telephone 2156003633
Practice Fax Number 2156003634
Mailing Telephone 2156003633
Mailing Fax Number 2156003634
Enumeration Date 2012-10-17
Last Update Date 2012-10-17
Authorized Official Name NIKOLAOS FOTIADIS (PRESIDENT)
Authorized Official Telephone 2156003633
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 417 CALLOWHILL ST
City PHILADELPHIA
State PA
Zip Code 19123-4025

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

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.

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