Organization Active NPI

Golden Years Homecare Specialist Incorporated

  • Home Health Agency
  • Wills Point, TX
National Provider Identifier
1609974765
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010730 Issued in TX
Legal business name
GOLDEN YEARS HOMECARE SPECIALIST INCORPORATED
Practice address
106 N 4TH St
Wills Point, TX 75169-2041
Phone
(903) 873-2770
Fax
(903) 873-6291
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mr. Calvin Cunigan
Title
Administrator
Phone
(903) 873-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010730 TX Primary

Addresses

Primary practice location

106 N 4TH St
Wills Point, TX 75169-2041

Mailing address

106 N 4TH St
Wills Point, TX 75169-2041
Phone (903) 873-2770

Other identifiers 1

IdentifierTypeStateIssuer
2120974MedicaidTX

National Provider Directory

National Provider Directory

Locations

106 N 4th St
Wills Point, TX 75169
Phone (903) 873-2770

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1609974765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N 4TH ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692041",
            "telephone_number": "903-873-2770",
            "fax_number": "903-873-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N 4TH ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692041",
            "telephone_number": "903-873-2770",
            "fax_number": "903-873-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS HOMECARE SPECIALIST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "CUNIGAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-873-2770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120974",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wills Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.