Organization Active NPI

Golden Legacy Homecare LLC

  • In Home Supportive Care Agency
  • Tolleson, AZ
National Provider Identifier
1144002296
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN LEGACY HOMECARE LLC
Practice address
9026 W Whyman Ave
Tolleson, AZ 85353-9042
Phone
(602) 473-3877
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Andrea Robinson
Title
Ceo
Phone
(602) 473-3877

Specialties & licenses 1

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

Addresses

Primary practice location

9026 W Whyman Ave
Tolleson, AZ 85353-9042

Mailing address

9026 W Whyman Ave
Tolleson, AZ 85353-9042
Phone (602) 473-3877

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1144002296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9026 W WHYMAN AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539042",
            "telephone_number": "602-473-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9026 W WHYMAN AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539042",
            "telephone_number": "602-473-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LEGACY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-473-3877"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.