Organization Active NPI

Golden Crescent Health Services, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1194205302
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN CRESCENT HEALTH SERVICES, LLC
Practice address
388 Western Ave N Ste C
Saint Paul, MN 55103-2171
Phone
(651) 292-1284
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Jessica McEvoy
Title
Director
Phone
(651) 292-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

388 Western Ave N Ste C
Saint Paul, MN 55103-2171

Mailing address

388 Western Ave N Ste C
Saint Paul, MN 55103-2171
Phone (651) 292-1284

National Provider Directory

National Provider Directory

Locations

388 Western Ave N
Ste C
Saint Paul, MN 55103
Phone (651) 292-1284

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1194205302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WESTERN AVE N STE C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032171",
            "telephone_number": "651-292-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 WESTERN AVE N STE C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032171",
            "telephone_number": "651-292-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CRESCENT HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "MCEVOY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-292-1284"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.