NPIMap

Organization Active NPI

Golden Age Parental Care LLC

  • Personal Care Attendant
  • Lewisville, TX
National Provider Identifier
1508680877
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
GOLDEN AGE PARENTAL CARE LLC
Practice address
1000 Valley Ridge BLDV
6203
Lewisville, TX 75077
Phone
(214) 355-8628
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Hendrix UdaborNPI 1013738764
Title
Manager
Phone
(214) 355-8628

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1000 Valley Ridge BLDV
6203
Lewisville, TX 75077

Mailing address

1000 Valley Ridge Blvd Apt 62036203
Lewisville, TX 75077-2955
Phone (214) 355-8628

Other names 1

  • Golden Age Parental Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Age Parental Care LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1508680877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALLEY RIDGE BLVD APT 62036203",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772955",
            "telephone_number": "214-355-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VALLEY RIDGE BLDV",
            "address_2": "6203",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "214-355-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE PARENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "UDABOR",
        "authorized_official_first_name": "HENDRIX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-355-8628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Parental Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Age Parental Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.