Organization Active NPI

Golden Health Care LLC

  • Primary Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1265313688
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GOLDEN HEALTH CARE LLC
Practice address
460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238
Phone
(318) 828-1365
NPI assigned
Sep 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
La'Shundra Green-Washington, OWNERNPI 1447823646
Title
Owner
Phone
(318) 828-1365

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
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238

Mailing address

460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202001268 LA Part B Supplier - Clinic/Group Practice 6406334390 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2339657Golden Health Care LLC460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

460 Ashley Ridge Blvd
Ste 600
Shreveport, LA 71106
Phone (318) 828-1365

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": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265313688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD STE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD STE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067238",
            "telephone_number": "318-828-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREEN-WASHINGTON",
        "authorized_official_first_name": "LA'SHUNDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-828-1365",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.