Golden Age Home Care Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN AGE HOME CARE AGENCY, LLC

Practice address

4086 Rochester Rd Ste 101
Troy, MI 48085-4945

Phone

(248) 688-9174

Fax

(248) 688-9731

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alain GorenNPI 1396001814

Title

President

Phone

(248) 251-7550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396426193. Details of each certification follow.

• CCN 239362 Home health agency · Active · Details

Home health agency certification: CCN 239362

Legal name

GOLDEN AGE HOME CARE AGENCY, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 14, 2024

Last certification

Jul 18, 2024

Organization structure

LLCProprietary

Incorporated

Jul 6, 2023 in MI

Enrollment address

4086 Rochester Rd
Ste 101
Troy, MI 48085-4945

Listed as

Golden Age Home Care Agency, LLCCCN 239362 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Aug 14, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alain Goren, PT

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1396001814
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Faris Peter Atchoo, DO

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1467530428

  Home health agency

  Care Compare affiliation
• John Sami Maarouf, D.O

  • Sports Medicine (Family Medicine) Physician
  • Farmington Hills, MI
  • NPI 1497174478

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1396426193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 ROCHESTER RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854945",
            "telephone_number": "248-688-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 ROCHESTER RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854945",
            "telephone_number": "248-688-9174",
            "fax_number": "248-688-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "GOREN",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-251-7550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Gojcaj, COTAL
• Rudina Gojcaj
• Bruce Edward Goldberg, MSW
• Martha Goldberg
• Stacy Goldberg, MPH, RN, BSN
• Golden Pines Senior Living LLC
• Golden Touch Home Health Care, LLC
• Theodore Alan Golden, MD
• Raya Goldenberg, LMSW ACSW
• Craig P Goldin, D.D.S.

• Home Health Agency in Troy, MI
• Providers in Troy, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.