Goldstar Academy of Health and Sciences

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDSTAR ACADEMY OF HEALTH AND SCIENCES

Practice address

115 S Acline St Ste a
Lake City, SC 29560-2632

Phone

(843) 316-9941

Fax

(843) 329-7376

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Ola Cooper

Title

Director

Phone

(843) 731-4174

Specialties & licenses 1

Addresses

Other names 1

• Goldstar Care Agency LLC Doing business as

Locations

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708214400000",
    "number": "1386375103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S ACLINE ST STE A",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602632",
            "telephone_number": "843-316-9941",
            "fax_number": "843-329-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S ACLINE ST STE A",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602632",
            "telephone_number": "843-316-9941",
            "fax_number": "843-329-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR ACADEMY OF HEALTH AND SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-731-4174"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldstar Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Elizabeth Gentry, D.P.T.
• Lafelle S Gist
• Clara Glasscho, RN,C
• Tiffany Renee Godbolt, P.T.A.
• Ashton Cagle Godwin, NP
• Grace and Mercy Home Health LC
• Graham Clinic Inc.
• Andrea Graham
• Darlene G Graham, RN
• Omega Denise Graham, PMHNP

• Home Health Agency in Lake City, SC
• Providers in Lake City, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; 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.