Active NPI
Golden Care Health Services
- General Practice Physician
- Lumberton, NC
National Provider Identifier
1336486620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 156187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2827 | NC | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 156187 | NC | |
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336486 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.