NPIMap

Organization Active NPI

Golden Age Parental Care LLC

  • In Home Supportive Care Agency
  • Lewisville, TX
National Provider Identifier
1033935481
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN AGE PARENTAL CARE LLC
Practice address
247 E SW Parkway
Apt. 605
Lewisville, TX 75067
Phone
(214) 355-8628
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Mr. Julius Onyenjiuwa Madagu, MD
Title
MD
Phone
(214) 355-8628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

247 E SW Parkway
Apt. 605
Lewisville, TX 75067

Mailing address

1301 Justin Rd Ste 201
Lewisville, TX 75077-2183
Phone (214) 355-8628

National Provider Directory

National Provider Directory
Tax ID family
Golden Age Parental Care LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1033935481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JUSTIN RD STE 201",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772183",
            "telephone_number": "214-355-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E SW PARKWAY",
            "address_2": "APT. 605",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "214-355-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE PARENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "MADAGU",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "ONYENJIUWA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-355-8628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.