Golden Care Supported Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN CARE SUPPORTED LIVING

Practice address

5530 99TH St Apt 3K
Corona, NY 11368-3735

Phone

(347) 579-6274

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Fofanah, MPH

Title

President

Phone

(614) 929-1931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1316410764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 99TH ST APT 3K",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683735",
            "telephone_number": "347-579-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 99TH ST APT 3K",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683735",
            "telephone_number": "347-579-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "FOFANAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-929-1931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Ines Geraldino
• Gigi Nyc Inc
• Erik Gilroy, D.D.S.
• Fanny Glassberg
• Golden Care Adult Day Care LLC
• Golden Hammer Pharmacy Inc
• Golden Management Inc
• Enid H Goldstein, RN
• Agatha D Gomes X
• Tatiana Flaminia Gomez Lopez

• Home Health Agency in Corona, NY
• Providers in Corona, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.