Golden Guardians Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLDEN GUARDIANS CARE AGENCY, LLC

Practice address

2542 SE Oaklyn St
Port Saint Lucie, FL 34984-5228

Phone

(772) 777-2381

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Channel Harris-Gowdie

Title

Vice President

Phone

(772) 626-5948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1124688312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 SE OAKLYN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845228",
            "telephone_number": "772-777-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 SE OAKLYN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845228",
            "telephone_number": "772-777-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GUARDIANS CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS-GOWDIE",
        "authorized_official_first_name": "CHANNEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "772-626-5948"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.