Organization Active NPI

Golden Oaks Home Care LLC

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1558993071
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN OAKS HOME CARE LLC
Practice address
7100 Maryland Ave N
Brooklyn Park, MN 55428-1667
Phone
(952) 649-8657
NPI assigned
Feb 12, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Vijay Palkar
Title
Owner
Phone
(952) 649-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7100 Maryland Ave N
Brooklyn Park, MN 55428-1667

Mailing address

7100 Maryland Ave N
Brooklyn Park, MN 55428-1667
Phone (952) 649-8657

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2211049Golden Oaks Home Care LLC7100 Maryland Avenue N, Brooklyn Park, MN 55428Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1558993071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 MARYLAND AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281667",
            "telephone_number": "952-649-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 MARYLAND AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281667",
            "telephone_number": "952-649-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAKS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "PALKAR",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-649-8657"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.