Golden Care Home Health Services LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

GOLDEN CARE HOME HEALTH SERVICES LLC

Doing business as

Golden Care Home Health Services

Practice address

3905 Vincennes Rd Ste 120
Indianapolis, IN 46268-3055

Phone

(317) 802-7616

Fax

(317) 552-2090

NPI assigned

Jun 12, 2021

Last updated

Jun 12, 2021By 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

Mrs. Gyjuanna Twyman, ASN MA

Title

Director of Amdinistration

Phone

(317) 802-7616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Care Home Health Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437727849. Details of each certification follow.

• CCN 15K192 Home health agency · Active · Name & address match · Details

Home health agency certification: CCN 15K192

Legal name

GOLDEN CARE HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 28, 2023

Last certification

Mar 28, 2023

Ownership / control type

Proprietary

Facility address

3905 Vincennes Road
Indianapolis, IN 46268

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

CLIA laboratory certificates

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1437727849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 VINCENNES RD STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683055",
            "telephone_number": "317-802-7616",
            "fax_number": "317-552-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 VINCENNES RD STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683055",
            "telephone_number": "317-802-7616",
            "fax_number": "317-552-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "TWYMAN",
        "authorized_official_first_name": "GYJUANNA",
        "authorized_official_title_or_position": "DIRECTOR OF AMDINISTRATION",
        "authorized_official_telephone_number": "317-802-7616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASN MA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20-015028",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BaracudaNetworks",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3905 Vincennes Rd Ste 120",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462683055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Care Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.