Golden Age Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

315144 Issued in PA

Legal business name

GOLDEN AGE CARE LLC

Practice address

716 Red Lion Rd
Philadelphia, PA 19115-1307

Phone

(215) 677-3100

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Kallush

Title

Director

Phone

(215) 677-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1205273943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151307",
            "telephone_number": "215-677-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "KALLUSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-677-3100"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "315144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jason Goldberger, M.D.
• Erica D Goldblatt, DSW, LCSW, MBE
• Lindsay Gabrielle Goldblatt, MD
• Eric Goldburd, L.AC
• Golden Age Adult Day Center Inc
• Golden Age Home Care, Inc
• Golden Brace Medical Supplied LTD
• Golden Care Home Health, LLC
• Golden Caring Transit Corp
• Golden Comfort Home Care Services LLC

• Adult Care Home Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Care Home Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.