NPIMap

Organization Active NPI

Golden Years LLC

  • In Home Supportive Care Agency
  • Brentwood, TN
National Provider Identifier
1306182183
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000012172 Issued in TN
Legal business name
GOLDEN YEARS LLC
Practice address
205 Powell PL
Brentwood, TN 37027-7522
Phone
(615) 354-7645
NPI assigned
Dec 22, 2012
Last updated
Dec 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Typhanee FitzgeraldNPI 1457607343
Title
Ceo
Phone
(615) 426-1540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I000000012172 TN Primary

Addresses

Primary practice location

205 Powell PL
Brentwood, TN 37027-7522

Mailing address

205 Powell PL
Brentwood, TN 37027-7522
Phone (615) 369-0614

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1306182183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 POWELL PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277522",
            "telephone_number": "615-369-0614",
            "fax_number": "615-369-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 POWELL PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277522",
            "telephone_number": "615-354-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-22",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "TYPHANEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-426-1540"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000012172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; 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.