NPIMap

Organization Active NPI

My Golden Years Home Care Services Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1073931549
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
24673601 Issued in PA
Legal business name
MY GOLDEN YEARS HOME CARE SERVICES INC.
Practice address
8814 Blue Grass Rd
Philadelphia, PA 19152-1302
Phone
(267) 444-9049
Fax
(215) 839-1132
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mr. Ephraim Kelly
Title
President
Phone
(267) 444-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 24673601 PA Primary

Addresses

Primary practice location

8814 Blue Grass Rd
Philadelphia, PA 19152-1302

Mailing address

PO Box 52113
Philadelphia, PA 19115-7113
Phone (267) 888-6240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1073931549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52113",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191157113",
            "telephone_number": "267-888-6240",
            "fax_number": "215-839-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 BLUE GRASS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521302",
            "telephone_number": "267-444-9049",
            "fax_number": "215-839-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOLDEN YEARS HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-444-9049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "24673601",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2014; 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.