Organization Active NPI

Golden Care LLC

  • Multi-Specialty Clinic/Center
  • Jackson, MS
National Provider Identifier
1245020817
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Jun 2, 2025

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Non-emergency Medical Transport (VAN) 343900000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.