Golden Age Guardian Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-171625 Issued in VA

Legal business name

GOLDEN AGE GUARDIAN CARE

Doing business as

LLC

Practice address

144 Business Park Dr
#203
Virginia Beach, VA 23462-6527

Phone

(757) 463-2969

Fax

(757) 222-1229

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tabitha Shirrel Nelson

Title

Ceo

Phone

(757) 359-2874

Specialties & licenses 1

Addresses

Other names 1

• LLC Doing business as

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1659819175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR",
            "address_2": "#203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-463-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR",
            "address_2": "#203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-463-2969",
            "fax_number": "757-222-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE GUARDIAN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "SHIRREL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-359-2874",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stella Alice Goings, MD, MPH
• Ernest E. Goins, M.D.
• Aleksandra Gojkovic
• Ezra Goldberg-O'Neil, DDS
• Jason Goldberg, M.D.
• Golden Hartz ABA VA LLC
• Golden Healthcare Advantage Corp
• Stacey Morgan Goldfine, D.O.
• Ilene G Goldman, MD
• Ilene Beth Goldstein, M.D.

• Home Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.