Golden Moments Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLDEN MOMENTS HOME CARE, LLC

Practice address

201 Airways Blvd
Jackson, TN 38301-5800

Phone

(731) 217-7888

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Thelma Golden Williams, RN

Title

Owner

Phone

(731) 217-7888

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1134617350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AIRWAYS BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015800",
            "telephone_number": "731-217-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AIRWAYS BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015800",
            "telephone_number": "731-217-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MOMENTS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "GOLDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-217-7888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Go, MD
• Russell Andrew Goad
• Rebecca Goetze
• Nicole Marie Goggin
• Stephanie Elaine Goins-Jones, MSED
• Golden Years Adult Daycare of Jackson LLC
• Christie Golden, PT
• Brittney Bass Goldsby, PT
• Bonna Hardee Gollihugh, APRN
• Whitney Gomez, PHARM D

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.