Organization Active NPI

Golden Age Home Care LLC

Doing business as Golden Age Home Care

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1578223897
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN AGE HOME CARE LLC
Doing business as
Golden Age Home Care
Practice address
8404 Wilsky Blvd Ste 104
Tampa, FL 33615-1515
Phone
(813) 508-8872
NPI assigned
Dec 28, 2021
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jeniffer Rodriguez
Title
Administrator/Owner
Phone
(813) 508-8872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8404 Wilsky Blvd Ste 104
Tampa, FL 33615-1515

Mailing address

8404 Wilsky Blvd Ste 104
Tampa, FL 33615-1515
Phone (813) 513-6033

Other names 2

  • Golden Age Home Care Doing business as
  • Benevida Home Health LLC Other name

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
10D2329414Golden Age Home Care, LLC8404 Wilsky Blvd Suite 104, Tampa, FL 33615Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

8404 Wilsky Blvd
Ste 104
Tampa, FL 33615
Phone (813) 508-8872

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1578223897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-513-6033",
            "fax_number": "813-771-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-508-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JENIFFER",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "813-508-8872"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benevida Home Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.