Organization Active NPI

Golden Age Home Care, Inc.

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1295758654
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21437096 Issued in FL
Legal business name
GOLDEN AGE HOME CARE, INC.
Practice address
3408 W 84TH St
Suite 211
Hialeah, FL 33018-4939
Phone
(305) 824-0355
Fax
(305) 827-9021
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Mrs. Barbara Baez
Title
Admiistrator
Phone
(305) 824-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21437096 FL Primary

Addresses

Primary practice location

3408 W 84TH St
Suite 211
Hialeah, FL 33018-4939

Mailing address

3408 W 84TH St
Suite 211
Hialeah, FL 33018-4939
Phone (305) 824-0355

Other identifiers 1

IdentifierTypeStateIssuer
650814600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3408 W 84th St
Ste 211
Hialeah, FL 33018
Phone (305) 824-0355

8410 W Flagler St
Ste 207B
Miami, FL 33144
Phone (305) 824-0355

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1295758654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST",
            "address_2": "SUITE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184939",
            "telephone_number": "305-824-0355",
            "fax_number": "305-827-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST",
            "address_2": "SUITE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184939",
            "telephone_number": "305-824-0355",
            "fax_number": "305-827-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMIISTRATOR",
        "authorized_official_telephone_number": "305-824-0355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21437096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650814600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.