Goden Age Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GODEN AGE CARE AGENCY LLC

Practice address

8496 Bella Woods Dr
Lewis Center, OH 43035-2508

Phone

(267) 648-7699

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Lamin Jalloh

Title

Owner

Phone

(267) 648-7699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1770366676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8496 BELLA WOODS DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430352508",
            "telephone_number": "267-648-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8496 BELLA WOODS DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430352508",
            "telephone_number": "267-648-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODEN AGE CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "JALLOH",
        "authorized_official_first_name": "LAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-648-7699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.