Organization Active NPI

Golden Path Home Care, Inc.

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1356872519
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN PATH HOME CARE, INC.
Practice address
7577 N Teutonia Ave
Milwaukee, WI 53209-2041
Phone
(414) 236-5208
Fax
(414) 236-5648
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Nicosia King
Title
Owner
Phone
(262) 748-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7577 N Teutonia Ave
Milwaukee, WI 53209-2041

Mailing address

7577 N Teutonia Ave
Milwaukee, WI 53209-2041
Phone (414) 236-5208

Other identifiers 1

IdentifierTypeStateIssuer
100032184MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1356872519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092041",
            "telephone_number": "414-236-5208",
            "fax_number": "414-236-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7577 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092041",
            "telephone_number": "414-236-5208",
            "fax_number": "414-236-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PATH HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-748-2596"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032184",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.