Golding Care Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDING CARE HOSPICE INC.

Practice address

1240 N Van Buren St Ste 202
Anaheim, CA 92807-1602

Phone

(714) 576-7210

Fax

(714) 333-4307

NPI assigned

May 13, 2020

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siama Choudhary

Title

Ceo

Phone

(714) 232-9337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801418793. Details of each certification follow.

• CCN B21568 Hospice · Active · Details

Hospice certification: CCN B21568

Legal name

GOLDING CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 9, 2021

Last certification

Jun 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 24, 2020 in CA

Enrollment address

1240 N Van Buren St
Ste 202
Anaheim, CA 92807-1602

Listed as

Golding Care Hospice IncCCN B21568 · All quality measures

Ownership

For-Profit

Certified

Jun 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Samir Azzam, M.D

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1891744538

  Contracted Managing Employee

  CMS ownership

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.

• Nathalie Langie, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1497434146
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samir Azzam, M.D

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1891744538

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1801418793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N VAN BUREN ST STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071602",
            "telephone_number": "714-576-7210",
            "fax_number": "714-333-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N VAN BUREN ST STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071602",
            "telephone_number": "714-576-7210",
            "fax_number": "714-333-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDING CARE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CHOUDHARY",
        "authorized_official_first_name": "SIAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-232-9337"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden West Medical Corporation (Golden West Urgent Care)
• Golden West Medical Corporation (Golden West Medical Center)
• Golden West Radiology Medical Group
• Golden Years Group LLC
• Golden Years Group1
• Amir Golriz, M.A., BCBA
• Jessica Gomez Gudino, MS
• Alejandra Gomez
• Annmarie Gomez, SLPA
• Araceli Gomez

• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.