Organization Active NPI

Goldencare Home Health Services

  • Home Health Aide
  • Ham Lake, MN
National Provider Identifier
1053107193
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GOLDENCARE HOME HEALTH SERVICES
Practice address
13562 Highway 65 NE
Ham Lake, MN 55304-6920
Phone
(612) 393-8976
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Chad Lange
Title
Partner
Phone
(612) 393-8976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

13562 Highway 65 NE
Ham Lake, MN 55304-6920

Mailing address

13805 Elkhart Rd
Apple Valley, MN 55124-9250
Phone (612) 393-8976

National Provider Directory

National Provider Directory

Locations

13562 Highway 65 NE
Ham Lake, MN 55304
Phone (612) 393-8976

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1053107193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 ELKHART RD",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551249250",
            "telephone_number": "612-393-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13562 HIGHWAY 65 NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046920",
            "telephone_number": "612-393-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENCARE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "612-393-8976"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.