Thomas Family Golden Age Facility, LLC.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

THOMAS FAMILY GOLDEN AGE FACILITY, LLC.

Doing business as

Thomas Family Golden Age Facility, LLC

Practice address

7142B Baltimore Annapolis Blvd
Glen Burnie, MD 21061-2002

Phone

(443) 822-5296

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Alicia Antell Patrick, MA, CNA, PCT, CMTNPI 1285229575

Title

Owner

Phone

(443) 822-5296

Specialties & licenses 2

Addresses

Other names 1

• Thomas Family Golden Age Facility, LLC Doing business as

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.

• Alicia Antell Patrick, CNA, MA, PTA, CMT

  • Home Health Aide
  • Glen Burnie, MD
  • NPI 1285229575
  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1437747425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142B BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612002",
            "telephone_number": "443-822-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142B BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612002",
            "telephone_number": "443-822-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY GOLDEN AGE FACILITY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-822-5296",
        "authorized_official_credential": "MA, CNA, PCT, CMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Family Golden Age Facility, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.