Golden Years Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7949 Issued in OK

Legal business name

GOLDEN YEARS HOME HEALTH, LLC

Practice address

112 W Main St
Tishomingo, OK 73460-1723

Phone

(580) 371-0554

NPI assigned

Jun 21, 2010

Last updated

Jun 21, 2010By 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

Ms. Kristie Lea Cannon

Title

Owner

Phone

(580) 371-0554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1477874741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601723",
            "telephone_number": "580-371-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601723",
            "telephone_number": "580-371-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-371-0554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Lee Frazer, FSP
• Gina Marice Frazier, LPC
• Amy Quinn Gamble, APRN-CNP
• Clayton Andrew Garrett, DO
• Alexandria Gibby, APRN-CNP
• Melisa Jo Golden
• Carla M Gray, BHRS
• Jason Charles Gray, PHARM D.
• Sammy G Gray, LADC
• Chelsea Griffin

• Home Health Agency in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.