Organization Active NPI

Goldenedge HC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1174021000
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDENEDGE HC
Practice address
18335 All Oak TRL
Houston, TX 77084-3490
Phone
(361) 228-0965
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mrs. Jadesola Omobolaji Ajiboye
Title
Owner
Phone
(361) 228-0965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18335 All Oak TRL
Houston, TX 77084-3490

Mailing address

18335 All Oak TRL
Houston, TX 77084-3490
Phone (361) 228-0965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1174021000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18335 ALL OAK TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843490",
            "telephone_number": "361-228-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18335 ALL OAK TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843490",
            "telephone_number": "361-228-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENEDGE HC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "AJIBOYE",
        "authorized_official_first_name": "JADESOLA",
        "authorized_official_middle_name": "OMOBOLAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-228-0965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.