Golden Home Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN HOME HEALTHCARE SERVICES, LLC

Practice address

12504 Quarterhorse LN
Lake Ridge, VA 22192-6370

Phone

(703) 389-0995

Fax

(571) 412-8069

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Isaac A. Boateng, B.SC. INF. TECH.

Title

Administrator

Phone

(703) 389-0995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1073348942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 QUARTERHORSE LN",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221926370",
            "telephone_number": "703-389-0995",
            "fax_number": "571-412-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 QUARTERHORSE LN",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221926370",
            "telephone_number": "703-389-0995",
            "fax_number": "571-412-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-389-0995",
        "authorized_official_credential": "B.SC. INF. TECH."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.