Golden Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

77970501 Issued in PA

Legal business name

GOLDEN HEALTH SERVICES INC

Practice address

2100 Scattergood St
Philadelphia, PA 19124-2012

Phone

(215) 289-9005

Fax

(215) 289-9024

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Folasade O Ajibolade, RN MSC

Title

Administrator

Phone

(215) 289-9005

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 397797

Legal name

GOLDEN HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 12, 2004

Last certification

Jun 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 19, 2001 in PA

Enrollment address

2100 Scattergood St
Philadelphia, PA 19124-2012
HHA Branch

Listed as

Golden Health Services IncCCN 397797

Ownership

Proprietary

Certified

May 12, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1093782260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SCATTERGOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242012",
            "telephone_number": "215-289-9005",
            "fax_number": "215-289-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SCATTERGOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242012",
            "telephone_number": "215-289-9005",
            "fax_number": "215-289-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "AJIBOLADE",
        "authorized_official_first_name": "FOLASADE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-289-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77970501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009181050001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009181050004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Diagnostics
• Golden Dive Home Care Agency, LLC.
• Golden Goose Home Care LLC
• Golden Hands Massage Services LLC
• Golden Health Pharmacy
• Golden Heart Home Care Agency LLC
• Golden Heart Home Services, LLC
• Golden Hour Ambulance Inc.
• Golden Hour Psychotherapy LLC
• Golden Key Hospice LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.