Golden Life Family Care Home, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

FCL054072 Issued in NC

Legal business name

GOLDEN LIFE FAMILY CARE HOME, LLC.

Practice address

1002 Westminster LN
Kinston, NC 28501-2766

Phone

(252) 208-8479

NPI assigned

Jul 1, 2016

Last updated

Jul 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

GOLDEN LIFE FAMILY CARE HOME, LLC.As reported in NPPES

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

Authorized official

Name

Ashley Nicole CratchNPI 1750737748

Title

Administrator

Phone

(252) 208-8479

Specialties & licenses 10

Addresses

Part of

Golden Life Family Care Home LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Cratch

  • Nurse's Aide
  • Kinston, NC
  • NPI 1750737748
  NPD (past) Authorized official

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1699127639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285020674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WESTMINSTER LN",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012766",
            "telephone_number": "252-208-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE FAMILY CARE HOME, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN LIFE FAMILY CARE HOME, LLC.",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "CRATCH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-208-8479"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "FCL054072",
            "primary": true
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NC",
            "license": "FCL054072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Gerding-Johnson, PT, DPT
• Get (Grants, Education and Technbology) Services
• Lowell Harley Gill, M.D.
• Glencare Assisted Living, Inc (Glencre of Kinston)
• Barbara Goheen, M.D.
• Golden Years Home Careagency
• Erika L Gordon, DPT
• Christopher Bryce Grady
• Hiram Grady, R.N.
• Larue Grady, RPH

• In Home Supportive Care Agency in Kinston, NC
• Providers in Kinston, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.