Organization Active NPI

Gold Star Home Care Services LLC

  • Home Health Agency
  • Waltham, MA
National Provider Identifier
1124447891
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLD STAR HOME CARE SERVICES LLC
Practice address
40 Crescent St
LL1
Waltham, MA 02453-4313
Phone
(703) 586-0154
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Mr. Richard Mayanja
Title
Ceo
Phone
(703) 586-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

40 Crescent St
LL1
Waltham, MA 02453-4313

Mailing address

40 Crescent St
LL1
Waltham, MA 02453-4313
Phone (703) 586-0154

National Provider Directory

National Provider Directory

Locations

40 Crescent St
#1
Waltham, MA 02453
Phone (703) 586-0154

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1124447891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CRESCENT ST",
            "address_2": "LL1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534313",
            "telephone_number": "703-586-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CRESCENT ST",
            "address_2": "LL1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534313",
            "telephone_number": "703-586-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MAYANJA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-586-0154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.