Organization Active NPI

Golden Memories

  • In Home Supportive Care Agency
  • Sparks, NV
National Provider Identifier
1649792516
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN MEMORIES
Practice address
2621 Fanto CT
Sparks, NV 89431-2784
Phone
(775) 378-7843
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Bridgette Butler
Title
Owner
Phone
(775) 378-7843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV Primary

Addresses

Primary practice location

2621 Fanto CT
Sparks, NV 89431-2784

Mailing address

2555 D St Apt 108
Sparks, NV 89431-4175
Phone (775) 378-7843

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1649792516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 D ST APT 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314175",
            "telephone_number": "775-378-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 FANTO CT",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312784",
            "telephone_number": "775-378-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEMORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-378-7843"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.