Active NPI
Goldicare Inc
Doing business as Goldicare Medical
- In Home Supportive Care Agency
- San Antonio, TX
National Provider Identifier
1023605359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GOLDICARE INC
- Doing business as
- Goldicare Medical
- Practice address
- 13606 Ironhill Trce
San Antonio, TX 78245-4051 - Phone
- (210) 744-0899
- Fax
- (210) 851-8336
- NPI assigned
- Dec 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Kennedy, RN, NP, DNP
- Title
- Ceo, Administrator, RN, NP
- Phone
- (210) 744-0899
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Foster Care Agency | 253J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Nurse Practitioner | 363L00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
13606 Ironhill Trce
San Antonio, TX 78245-4051
Mailing address
13606 Ironhill Trce
San Antonio, TX 78245-4051
Phone (210) 744-0899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932629813 | Medicaid | ND |
Other names 2
- Goldicare Medical
- Goldicare
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Adult Health Nurse Practitioner
- San Antonio, TX
- NPI 1932629813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1023605359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13606 IRONHILL TRCE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454051",
"telephone_number": "210-744-0899",
"fax_number": "210-851-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13606 IRONHILL TRCE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454051",
"telephone_number": "210-744-0899",
"fax_number": "210-851-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDICARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "CEO, ADMINISTRATOR, RN, NP",
"authorized_official_telephone_number": "210-744-0899",
"authorized_official_credential": "RN, NP, DNP"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932629813",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Goldicare Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Goldicare Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Goldicare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.