Active NPI
Golden Angel Caring Hearts
- Home Health Agency
- Quincy, FL
National Provider Identifier
1356409296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 251EOOOOOX
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6884446678 | Medicaid | FL |
Other names 1
- QUANTARA CLARKE
National Provider Directory
National Provider DirectoryNPI 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.