NPIMap

Organization Active NPI

Golden Age Health, Inc

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1104872209
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7517 Issued in OK
Legal business name
GOLDEN AGE HEALTH, INC
Practice address
934 SW 107TH St
Oklahoma City, OK 73170-5244
Phone
(405) 692-1255
Fax
(405) 692-7522
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Nathan A Sowah
Title
Founder/Chairman/Cfo
Phone
(405) 692-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7517 OK Primary

Addresses

Primary practice location

934 SW 107TH St
Oklahoma City, OK 73170-5244

Mailing address

934 SW 107TH St
Oklahoma City, OK 73170-5244
Phone (405) 692-1255

Other names 2

  • Golden Age Home Care Doing business as
  • Golden Age Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000392 OK Part A Provider - Home Health Agency 7416136874 Practice locations: Oklahoma City, OK

Home health agency certification: CCN 377550

Legal name
GOLDEN AGE HEALTH, INC.
Doing business as
GOLDEN AGE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 1996
Last certification
Feb 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 27, 2021 in OK
Enrollment address
934 SW 107TH St
Oklahoma City, OK 73170-5244

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Age Home HealthCCN 377550
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 16, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0919957Golden Age Home Health, Inc934 SW 107TH Street, Oklahoma City, OK 73170Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

934 SW 107th St
Oklahoma City, OK 73170
Phone (405) 692-1255

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Dana Brown Individual 5% Or Greater Direct Ownership InterestDirector of Clinical Services May 3, 2023 15%
Corporate Director Oct 15, 2012
W-2 Managing Employee Aug 18, 2011
Lydia Naadei Sowah Individual 5% Or Greater Direct Ownership Interest Oct 16, 1996 40.07%
5% Or Greater Mortgage Interest Oct 1, 2010
Corporate Officer Oct 16, 1996
Corporate Director Oct 16, 1996
W-2 Managing Employee Oct 16, 1996
Operational/Managerial Control Oct 16, 1996
Other Oct 16, 1996
Charles Sowah Individual 5% Or Greater Direct Ownership InterestCoo Jul 1, 2025 17%
Corporate OfficerChief of Operations Jul 1, 2013
Corporate DirectorChief of Operations Jul 1, 2013
W-2 Managing EmployeeAd;Chief of Operations Jul 1, 2013
Operational/Managerial ControlChief of Operations Jul 1, 2013
Nathan Ablorh Sowah Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Oct 16, 1996 27.93%
5% Or Greater Mortgage InterestChief Financial Officer Oct 1, 2010
Corporate OfficerChief Financial Officer Oct 16, 1996
Corporate DirectorChief Financial Officer Oct 16, 1996
W-2 Managing EmployeeChief Financial Officer Oct 16, 1996
Operational/Managerial ControlChief Financial Officer Oct 16, 1996

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1104872209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 SW 107TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705244",
            "telephone_number": "405-692-1255",
            "fax_number": "405-692-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 SW 107TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705244",
            "telephone_number": "405-692-1255",
            "fax_number": "405-692-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "SOWAH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER/CHAIRMAN/CFO",
        "authorized_official_telephone_number": "405-692-1255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Age Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.