Organization Active NPI

Golden Care Health Services

  • General Practice Physician
  • Lumberton, NC
National Provider Identifier
1336486620
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
156187 Issued in NC
Legal business name
GOLDEN CARE HEALTH SERVICES
Practice address
102 W 32ND St
Lumberton, NC 28358-2925
Phone
(910) 730-0840
Fax
(886) 677-0504
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Mrs. Kristen Hudson
Title
Partner
Phone
(910) 730-0840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2827 NC
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X 156187 NC
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 156187 NC Primary

Addresses

Primary practice location

102 W 32ND St
Lumberton, NC 28358-2925

Mailing address

102 W 32ND St
Lumberton, NC 28358-2925
Phone (910) 730-0840

Other identifiers 1

IdentifierTypeStateIssuer
1336486MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1336486620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 32ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582925",
            "telephone_number": "910-730-0840",
            "fax_number": "886-677-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 32ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582925",
            "telephone_number": "910-730-0840",
            "fax_number": "886-677-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "910-730-0840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2827",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NC",
            "license": "156187",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "156187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336486",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.