Active NPI
Golden Arc Homecare Solution Inc.
- Home Health Agency
- Pensacola, FL
National Provider Identifier
1366959611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299994727
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024258500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.