Golden HC Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN HC OPERATOR LLC

Doing business as

Golden Age Healthcare Residence

Practice address

704 E Dobkins St
Dublin, TX 76446-2419

Phone

(254) 445-3379

Fax

(254) 445-4279

NPI assigned

Aug 21, 2015

Last updated

Jun 20, 2016By 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

Karin Falkinburg

Title

Executive Assistant

Phone

(214) 396-3462

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Golden Age Healthcare Residence Doing business as

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1437526787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLIFTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013342",
            "telephone_number": "214-396-3462",
            "fax_number": "214-396-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E DOBKINS ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764462419",
            "telephone_number": "254-445-3379",
            "fax_number": "254-445-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HC OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "FALKINBURG",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "214-396-3462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "45-5712",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001022267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Sue Faulkner, LPC
• Fibromyalgis and Chronic Pain Assocs.
• Angelee Gibson
• Golden Age HH Opco LLC (Golden Age Healthcare Residence)
• Golden Age Mnagement Company, LLC (Golden Age Manor Nursing Home)
• Jason Groseclose, APRN,FNP-BC
• Richard Van Harbin, DDS
• Brandi Burgan Harris, D.D.S.
• John C. Hodges, M.D.
• J&S Legacy Partners, LLC (CCS Medical Equipment)

• Skilled Nursing Facility in Dublin, TX
• Providers in Dublin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.