Active NPI
Golden Care LLC
- Multi-Specialty Clinic/Center
- Jackson, MS
National Provider Identifier
1245020817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- GOLDEN CARE LLC
- Practice address
- 603 Duling Ave Ste 201
Jackson, MS 39216-4009 - Phone
- (945) 267-6756
- NPI assigned
- May 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Necol Smith
- Title
- Owner
- Phone
- (945) 267-6756
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
603 Duling Ave Ste 201
Jackson, MS 39216-4009
Mailing address
603 Duling Ave Ste 201
Jackson, MS 39216-4009
Phone (945) 267-6756
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1245020817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 DULING AVE STE 201",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164009",
"telephone_number": "945-267-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 DULING AVE STE 201",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164009",
"telephone_number": "945-267-6756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-08",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "NECOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "945-267-6756"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.