Golgota Health Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOLGOTA HEALTH SERVICES INC

Practice address

4216 Evergreen LN Ste 133
Annandale, VA 22003-3256

Phone

(443) 286-9323

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Golgota Health Services Inc

Title

Ceo

Phone

(443) 286-9323

Specialties & licenses 1

Addresses

Other names 2

• CEO Doing business as
• Golgota Health Services Inc Doing business as

Locations

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1366043317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 133",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033256",
            "telephone_number": "443-286-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 133",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033256",
            "telephone_number": "443-286-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLGOTA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "INC",
        "authorized_official_first_name": "GOLGOTA HEALTH",
        "authorized_official_middle_name": "SERVICES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-286-9323"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golgota Health Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glory Homecare Services LLC
• Glory Homecare Services LLC
• Katrice Goff
• Golden Touch Care Services LLC
• Stafford S Goldstein, M.D.
• Patricia Maria Gomez, D.D.S
• Daniel Emerson Gonzalez, RBT
• Joan Marie Gonzalez, MD
• Nelly Gonzalez, MD
• Good Day Physical Therapy, Inc.

• Developmentally Disabled Services Day Training Agency in Annandale, VA
• Providers in Annandale, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.