Family/Golden Age Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAMILY/GOLDEN AGE CARE LLC

Practice address

7325 Bell Street
Schererville, IN 46375-3524

Phone

(219) 980-1839

Fax

(219) 322-7210

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Nkechi Mbanu, REGISTERED NURSING

Title

President/Ceo

Phone

(219) 980-1839

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1235290768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 BELL STREET",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753524",
            "telephone_number": "219-980-1839",
            "fax_number": "219-322-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 BELL STREET",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753524",
            "telephone_number": "219-980-1839",
            "fax_number": "219-322-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY/GOLDEN AGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "MBANU",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "NKECHI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-980-1839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSING"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "200501790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.