Organization Active NPI

Golden Life Home Healthcare, LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1538764691
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN LIFE HOME HEALTHCARE, LLC
Practice address
6424 W Fond Du Lac Ave Ste 4
Milwaukee, WI 53218-4964
Phone
(262) 899-2173
Fax
(262) 923-1212
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
True Thao
Title
Administrator
Phone
(262) 899-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6424 W Fond Du Lac Ave Ste 4
Milwaukee, WI 53218-4964

Mailing address

6424 W Fond Du Lac Ave Ste 4
Milwaukee, WI 53218-4964
Phone (262) 899-2173

National Provider Directory

National Provider Directory

Locations

6424 W Fond du Lac Ave
Ste 4
Milwaukee, WI 53218
Phone (262) 899-2173

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1538764691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 W FOND DU LAC AVE STE 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184964",
            "telephone_number": "262-899-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 W FOND DU LAC AVE STE 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184964",
            "telephone_number": "262-899-2173",
            "fax_number": "262-923-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "TRUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-899-2173"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.