Organization Active NPI

Golden Arc Homecare Solution Inc.

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1366959611
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994727 Issued in FL
Legal business name
GOLDEN ARC HOMECARE SOLUTION INC.
Practice address
196 E Nine Mile Rd Ste D
Pensacola, FL 32534-3119
Phone
(850) 525-0696
Fax
(850) 525-0696
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Mrs. Tiffany Danillie Rogers
Title
Ceo
Phone
(850) 525-0696

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994727 FL Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

196 E Nine Mile Rd Ste D
Pensacola, FL 32534-3119

Mailing address

PO Box 845
Gonzalez, FL 32560-0845
Phone (850) 525-0696

Other identifiers 1

IdentifierTypeStateIssuer
024258500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1720 W Fairfield Dr
Ste 320
Pensacola, FL 32501

196 E Nine Mile Rd
Ste D
Pensacola, FL 32534
Phone (850) 525-0696

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1366959611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "GONZALEZ",
            "state": "FL",
            "postal_code": "325600845",
            "telephone_number": "850-525-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E NINE MILE RD STE D",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343119",
            "telephone_number": "850-525-0696",
            "fax_number": "850-525-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ARC HOMECARE SOLUTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DANILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-525-0696",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994727",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024258500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.