Golden Age Nursing Center, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

481 Issued in LA

Legal business name

GOLDEN AGE NURSING CENTER, LLC

Practice address

5877 Aimwell Rd.
Jena, LA 71342-3020

Phone

(318) 992-4175

Fax

(318) 992-4177

NPI assigned

Sep 21, 2006

Last updated

Sep 23, 2008By 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

Mr. Charles B. McCartney

Title

Owner/Manager

Phone

(318) 992-4175

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1013016567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3020",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423020",
            "telephone_number": "318-992-4175",
            "fax_number": "318-992-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 AIMWELL RD.",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423020",
            "telephone_number": "318-992-4175",
            "fax_number": "318-992-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-992-4175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "481",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "481",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "LA",
            "license": "481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice P Flaherty, MD
• Rachel Gaddis Floyd, DDS
• Linda Ford, FNP-BC
• Bradley Scott Foster, PT
• Cecil Clyde Gaddis, DDS
• Denice Gordy, PHARMACIST
• Lauren Paige Grant, SLP
• Traci Gray, AGNP-C
• Elizabeth Elois Greene, LCSW
• Pamela Ruth Hamilton

• Nursing Facility/Intermediate Care Facility in Jena, LA
• Providers in Jena, LA by specialty
• Nursing Facility/Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.