Active NPI
Golden Years Homecare Agency, LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1053875658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOLDEN YEARS HOMECARE AGENCY, LLC
- Practice address
- 2679 Aramingo Ave Unit 1
Philadelphia, PA 19125-2331 - Phone
- (267) 239-2199
- Fax
- (215) 893-1778
- NPI assigned
- Jan 28, 2019
- 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
- Mitchell Niman
- Title
- Manager
- Phone
- (267) 239-2199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2679 Aramingo Ave Unit 1
Philadelphia, PA 19125-2331
Mailing address
2679 Aramingo Ave Unit 1
Philadelphia, PA 19125-2331
Phone (267) 239-2199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034777100001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1053875658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2679 ARAMINGO AVE UNIT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252331",
"telephone_number": "267-239-2199",
"fax_number": "215-893-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2679 ARAMINGO AVE UNIT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252331",
"telephone_number": "267-239-2199",
"fax_number": "215-893-1778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN YEARS HOMECARE AGENCY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "NIMAN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "267-239-2199"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034777100001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.