Golden Bridges Private Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN BRIDGES PRIVATE HOME CARE, LLC

Practice address

3186 Evans Mill Rd
Stonecrest, GA 30038-2420

Phone

(770) 407-9957

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Shelton Shatteen

Title

Ceo

Phone

(770) 407-9957

Specialties & licenses 1

Addresses

Tax ID family

Golden Bridges Private Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Bridges Private Home Care, LLC

  • Home Health Aide
  • Lithonia, GA
  • NPI 1871127837
  NPD tax ID

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1639993751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 EVANS MILL RD",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300382420",
            "telephone_number": "770-407-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 EVANS MILL RD",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300382420",
            "telephone_number": "770-407-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BRIDGES PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SHATTEEN",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-407-9957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gates
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• Robbin Denise Gleaton
• Golden Bridges Case Management LLC
• Greenlight Testing Solutions
• Adrianne Smiley Gurley
• Victoria-Loraine Hammond
• Colette Hemmings, DNP
• Sierra Hillsman, LPC

• Home Health Agency in Stonecrest, GA
• Providers in Stonecrest, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.