Organization Active NPI

Golden 1

  • In Home Supportive Care Agency
  • Memphis, TN
National Provider Identifier
1003234618
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN 1
Practice address
1331 Union Ave
Suite 1226
Memphis, TN 38104-3513
Phone
(901) 726-5888
Fax
(901) 726-6888
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irene MackNPI 1497038699
Title
Owner
Phone
(870) 733-4695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1331 Union Ave
Suite 1226
Memphis, TN 38104-3513

Mailing address

1331 Union Ave
Suite 1226
Memphis, TN 38104-3513
Phone (901) 726-5888

National Provider Directory

National Provider Directory
Tax ID family
Golden 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1331 Union Ave
Ste 1226
Memphis, TN 38104
Phone (901) 244-2233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1003234618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE",
            "address_2": "SUITE 1226",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043513",
            "telephone_number": "901-726-5888",
            "fax_number": "901-726-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE",
            "address_2": "SUITE 1226",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043513",
            "telephone_number": "901-726-5888",
            "fax_number": "901-726-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-733-4695"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.