Golden Care Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0121868958-001-7 Issued in IN

Legal business name

GOLDEN CARE SUPPLIES, LLC

Practice address

609 S Golden St
Columbia City, IN 46725-8740

Phone

(260) 244-1974

Fax

(260) 244-1978

NPI assigned

Nov 18, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary K King

Title

Manager

Phone

(260) 244-1974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003898552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GOLDEN ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467258740",
            "telephone_number": "260-244-1974",
            "fax_number": "260-244-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S GOLDEN ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467258740",
            "telephone_number": "260-244-1974",
            "fax_number": "260-244-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-244-1974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0121868958-001-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.