Organization Active NPI

Golden Fountain Personalized Home Care, LLC

  • Home Health Agency
  • Lansdowne, PA
National Provider Identifier
1487075628
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN FOUNTAIN PERSONALIZED HOME CARE, LLC
Practice address
326 Clearbrook Ave
Lansdowne, PA 19050-1039
Phone
(484) 721-7886
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Teresita Izumi
Title
Administrator
Phone
(484) 721-7886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

326 Clearbrook Ave
Lansdowne, PA 19050-1039

Mailing address

326 Clearbrook Ave
Lansdowne, PA 19050-1039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1487075628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CLEARBROOK AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CLEARBROOK AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501039",
            "telephone_number": "484-721-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN FOUNTAIN PERSONALIZED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "IZUMI",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "484-721-7886"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.