Organization Active NPI

Golden Years Homecare Agency, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1053875658
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 28, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1034777100001MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.