Organization Active NPI

Golden Years Companion Care

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1114284791
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000650 Issued in IL
Legal business name
GOLDEN YEARS COMPANION CARE
Practice address
1300 S Wabash Ave
Suite 205
Chicago, IL 60605-2547
Phone
(312) 447-0034
Fax
(312) 447-0036
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Mr. Daniel L Gray
Title
President
Phone
(312) 447-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000650 IL Primary

Addresses

Primary practice location

1300 S Wabash Ave
Suite 205
Chicago, IL 60605-2547

Mailing address

1300 S Wabash Ave
Suite 205
Chicago, IL 60605-2547
Phone (312) 447-0034

National Provider Directory

National Provider Directory

Locations

1300 S Wabash Ave
Ste 205
Chicago, IL 60605
Phone (312) 360-1720

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1114284791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WABASH AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052547",
            "telephone_number": "312-447-0034",
            "fax_number": "312-447-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WABASH AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052547",
            "telephone_number": "312-447-0034",
            "fax_number": "312-447-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-447-0034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.