Organization Active NPI

Golden Years Seniorcare Inc.

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1255809927
Registry record updated Nov 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN YEARS SENIORCARE INC.
Practice address
2650 Farley St
Atlanta, GA 30344-2327
Phone
(678) 235-1982
NPI assigned
Nov 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2018

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

Authorized official

Name
Jennifer Stovall, CERTIFITED NURSE AIDNPI 1073011615
Title
Ceo
Phone
(678) 235-1982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2650 Farley St
Atlanta, GA 30344-2327

Mailing address

2650 Farley St
Atlanta, GA 30344-2327
Phone (678) 235-1982

Other identifiers 1

IdentifierTypeStateIssuer
1073011615MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541894400000",
    "number": "1255809927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 FARLEY ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303442327",
            "telephone_number": "678-235-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 FARLEY ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303442327",
            "telephone_number": "678-235-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SENIORCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-235-1982",
        "authorized_official_credential": "CERTIFITED NURSE AID"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073011615",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.