Goldenstate Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLDENSTATE HOMECARE

Practice address

2916 Dudley Dr
Bartow, FL 33830-8808

Phone

(813) 527-7015

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Miranda Jones

Title

Administrator/Owner

Phone

(813) 527-7015

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1073389094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 DUDLEY DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338308808",
            "telephone_number": "813-527-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 DUDLEY DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338308808",
            "telephone_number": "813-527-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENSTATE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "813-527-7015"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Gilman
• Annabelle Gilmore
• Beverly Gilmore
• Katty Janisse Ginorio, ABA
• Jheanelle R Glevis, APRN
• Regine Gonel, MD
• Susana Gonzalez, RN
• James Goodwin, OT
• Kareyjean M Gordon-Somers
• Kaylee Madison Goss

• In Home Supportive Care Agency in Bartow, FL
• Providers in Bartow, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.