Organization Active NPI

Golden Life CDS LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1154797959
Registry record updated Aug 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN LIFE CDS LLC
Practice address
2620 Hodiamont Ave FL 1
Saint Louis, MO 63112-3608
Phone
(314) 571-4005
Fax
(314) 571-4005
NPI assigned
Aug 15, 2015
Last updated
Aug 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2015

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

Authorized official

Name
Tamara Robinson
Title
Director
Phone
(314) 571-4005

Specialties & licenses 1

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

Addresses

Primary practice location

2620 Hodiamont Ave FL 1
Saint Louis, MO 63112-3608

Mailing address

2620 Hodiamont Ave FL 1
Saint Louis, MO 63112-3608
Phone (314) 571-4005

National Provider Directory

National Provider Directory

Locations

2620 Hodiamont Ave
Fl 1
Saint Louis, MO 63112
Phone (314) 571-4005

NPI Registry JSON

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439596800000",
    "number": "1154797959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 HODIAMONT AVE FL 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123608",
            "telephone_number": "314-571-4005",
            "fax_number": "314-571-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 HODIAMONT AVE FL 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123608",
            "telephone_number": "314-571-4005",
            "fax_number": "314-571-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-571-4005"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.