NPIMap

Organization Active NPI

Golden Care Agency LLC

  • Clinic/Center
  • Brooklyn Center, MN
National Provider Identifier
1497469274
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOLDEN CARE AGENCY LLC
Practice address
1500 69TH Ave N Ste a
Brooklyn Center, MN 55430-1402
Phone
(612) 389-7904
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Tarsha SmithNPI 1689319071
Title
Owner
Phone
(612) 389-7904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1500 69TH Ave N Ste a
Brooklyn Center, MN 55430-1402

Mailing address

1500 69TH Ave N Ste a
Brooklyn Center, MN 55430-1402

National Provider Directory

National Provider Directory

Locations

1500 69th Ave N
Ste A
Brooklyn Center, MN 55430
Phone (612) 389-7904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1497469274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 69TH AVE N STE A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 69TH AVE N STE A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301402",
            "telephone_number": "612-389-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-389-7904"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.