A Golden Memorial Adult Day Care Center,LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

A GOLDEN MEMORIAL ADULT DAY CARE CENTER,LLC

Practice address

5530 Derry St Ste B
Harrisburg, PA 17111-3517

Phone

(717) 602-7564

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Bhim P. Dulal

Title

President

Phone

(717) 503-5066

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1366085417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 DERRY ST STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113517",
            "telephone_number": "717-503-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 DERRY ST STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113517",
            "telephone_number": "717-602-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GOLDEN MEMORIAL ADULT DAY CARE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "DULAL",
        "authorized_official_first_name": "BHIM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-503-5066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "goldenmadcc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "direct contact email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5530 Derry St Ste B",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171113517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.