Organization Active NPI

Golden Years Home Health PLLC

  • In Home Supportive Care Agency
  • Moorhead, MN
National Provider Identifier
1134949126
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN YEARS HOME HEALTH PLLC
Doing business as
Golden years home health pllc
Practice address
1550 Belsly Blvd Apt 207
Moorhead, MN 56560-5217
Phone
(701) 373-6394
NPI assigned
Oct 14, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Miss Madeleine Atemkeng Nso NanaNPI 1194552968
Title
Owner
Phone
(701) 373-6394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1550 Belsly Blvd Apt 207
Moorhead, MN 56560-5217

Mailing address

1550 Belsly Blvd Apt 207
Moorhead, MN 56560-5217
Phone (701) 373-6394

Other names 1

  • Golden years home health pllc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1134949126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BELSLY BLVD APT 207",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605217",
            "telephone_number": "701-373-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BELSLY BLVD APT 207",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605217",
            "telephone_number": "701-373-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS HOME HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "ATEMKENG NSO NANA",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-373-6394",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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": [
        {
            "organization_name": "Golden years home health pllc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden years home health pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.