Organization Active NPI

Golden Angel Caring Hearts

  • Home Health Agency
  • Quincy, FL
National Provider Identifier
1356409296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251EOOOOOX Issued in FL
Legal business name
GOLDEN ANGEL CARING HEARTS
Practice address
842 Ranch Rd
Quincy, FL 32351-5265
Phone
(850) 627-7533
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Quantara L Clarke
Title
Homemaker & Companion
Phone
(850) 627-7533

Specialties & licenses 1

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

Addresses

Primary practice location

842 Ranch Rd
Quincy, FL 32351-5265

Mailing address

PO Box 1230
Quincy, FL 32353-1230
Phone (850) 627-7533

Other identifiers 1

IdentifierTypeStateIssuer
6884446678MedicaidFL

Other names 1

  • QUANTARA CLARKE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356409296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323531230",
            "telephone_number": "850-627-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 RANCH RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515265",
            "telephone_number": "850-627-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ANGEL CARING HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "QUANTARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HOMEMAKER & COMPANION",
        "authorized_official_telephone_number": "850-627-7533",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "251EOOOOOX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6884446678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUANTARA CLARKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.