Golden Gates Homecare Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4466 Issued in NC

Legal business name

GOLDEN GATES HOMECARE AGENCY, LLC

Practice address

200 Valencia Dr
Suite 165
Jacksonville, NC 28546-6311

Phone

(910) 388-6976

NPI assigned

Oct 18, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Moore Canady

Title

Member/President

Phone

(910) 388-6976

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1699050971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 165",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "910-388-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 165",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "910-388-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATES HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "910-388-6976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4466",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Israel Gliksman, D.D.S.
• Maegan Glynn
• Catherine Ann Gneiting, PH.D,LPC,LCAS-P
• Donovan David Godwin, DDS
• Lisa Goldberg
• Anna Goldstein
• Carlye Nicole Gomez
• Lindsay Gonyeau, MSW, LCSW
• Jean C Gonzalez, MS. CCC-SLP
• Owen Gonzalez, CPO

• Home Health Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.