NPIMap

Organization Active NPI

Golden Years Adult Health Services

  • Adult Companion
  • Jackson, MS
National Provider Identifier
1154726107
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
GOLDEN YEARS ADULT HEALTH SERVICES
Practice address
121 Colonial GLN
Jackson, MS 39211-3305
Phone
(601) 573-8651
NPI assigned
Nov 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Authorized official

Name
Mr. Victor Oneil SmithNPI 1407220627
Title
Owner/Ceo/Coo
Phone
(601) 573-8651

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MS
Assisted Living Facility 310400000X MS
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X MS Primary

Addresses

Primary practice location

121 Colonial GLN
Jackson, MS 39211-3305

Mailing address

121 Colonial GLN
Jackson, MS 39211-3305
Phone (601) 573-8651

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.

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1154726107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COLONIAL GLN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113305",
            "telephone_number": "601-573-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COLONIAL GLN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113305",
            "telephone_number": "601-573-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ONEIL",
        "authorized_official_title_or_position": "OWNER/CEO/COO",
        "authorized_official_telephone_number": "601-573-8651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.