NPIMap

Organization Active NPI

Golden Care Home Health, LLC

  • Home Health Agency
  • Paris, TX
National Provider Identifier
1639752371
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN CARE HOME HEALTH, LLC
Practice address
2735 NE Loop 286
Paris, TX 75460-3427
Phone
(903) 737-4337
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Kelsie Allen
Title
Owner/Alt Admin
Phone
(903) 272-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2735 NE Loop 286
Paris, TX 75460-3427

Mailing address

2735 NE Loop 286
Paris, TX 75460-3427
Phone (903) 737-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130002951 TX Part A Provider - Home Health Agency 9335539642 Practice locations: Paris, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639752371. Details of each certification follow.

Home health agency certification: CCN 748044

Legal name
GOLDEN CARE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 2022
Last certification
Mar 3, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1055 Clarksville St
Ste 120
Paris, TX 75460-0212

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Care Home Health, LLCCCN 748044 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 7, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D2230789Golden Care Home Health LLC1055 Clarksville Street, Suite 120, Paris, TX 75460Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

2735 NE Loop 286
Paris, TX 75460
Phone (903) 737-4337

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deanna Nicholson Individual 5% Or Greater Direct Ownership Interest Apr 24, 2021 45%
Corporate Director Apr 24, 2021
W-2 Managing Employee Apr 24, 2021
Scott Nicholson Individual 5% Or Greater Direct Ownership Interest Apr 24, 2021 45%
Corporate Director Apr 24, 2021
W-2 Managing Employee Apr 24, 2021
Kelsie Allen Individual 5% Or Greater Direct Ownership Interest Apr 24, 2021 10%
Corporate Director Apr 24, 2021
W-2 Managing Employee Apr 24, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1639752371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603427",
            "telephone_number": "903-737-4337",
            "fax_number": "903-737-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603427",
            "telephone_number": "903-737-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KELSIE",
        "authorized_official_title_or_position": "OWNER/ALT ADMIN",
        "authorized_official_telephone_number": "903-272-4936"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.