Golconda North LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLCONDA NORTH LLC

Doing business as

Comfort Keepers Home Care

Practice address

820 E Best Ave
Coeur D Alene, ID 83814-4836

Phone

(208) 765-8710

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Andrew Thornock, RN

Title

MGMR

Phone

(208) 765-9511

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Home Care Doing business as

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1740896505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E BEST AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144836",
            "telephone_number": "208-765-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E BEST AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144836",
            "telephone_number": "208-765-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLCONDA NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "208-765-9511",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Glovsky
• Stephen Godfrey
• Cindy R. Goff, M.A.,SLP-CCC
• Gilbert Bryant Goff, LMT
• Jaren Goff
• Golden Ridge Healthcare, Inc. (Ironwood Rehabilitation and Care Center)
• Amelie Golden, DPT
• Seth Golden, PHARMD
• Johanna Golke, PA-C
• Rachel Ann Golob

• In Home Supportive Care Agency in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.