Organization Active NPI

Golden Home Services LLC

  • In Home Supportive Care Agency
  • Roswell, GA
National Provider Identifier
1194099812
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
060R0123 Issued in GA
Legal business name
GOLDEN HOME SERVICES LLC
Practice address
11205 Alpharetta Hwy
Suite D-2
Roswell, GA 30076-5610
Phone
(678) 242-0084
Fax
(678) 242-0048
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mr. Timothy Ray
Title
Owner
Phone
(678) 242-0084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 060R0123 GA Primary

Addresses

Primary practice location

11205 Alpharetta Hwy
Suite D-2
Roswell, GA 30076-5610

Mailing address

11205 Alpharetta Hwy
Suite D-2
Roswell, GA 30076-5610
Phone (678) 242-0084

National Provider Directory

National Provider Directory

Locations

11205 Alpharetta Hwy
Ste D2
Roswell, GA 30076
Phone (678) 242-0084

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1194099812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY",
            "address_2": "SUITE D-2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765610",
            "telephone_number": "678-242-0084",
            "fax_number": "678-242-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY",
            "address_2": "SUITE D-2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765610",
            "telephone_number": "678-242-0084",
            "fax_number": "678-242-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-242-0084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060R0123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.