Active NPI
Golden Living Healthcare Services, LLC
- Home Health Agency
- Fairburn, GA
National Provider Identifier
1811645666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOLDEN LIVING HEALTHCARE SERVICES, LLC
- Practice address
- 5173 Rosewood PL
Fairburn, GA 30213-5116 - Phone
- (678) 497-5324
- NPI assigned
- Mar 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taiye Enadeghe, RN
- Title
- Ceo/ Administrator
- Phone
- (678) 497-5324
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
5173 Rosewood PL
Fairburn, GA 30213-5116
Mailing address
5173 Rosewood PL
Fairburn, GA 30213-5116
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Fairburn, GA
- NPI 1215619747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646956800000",
"number": "1811645666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5173 ROSEWOOD PL",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302135116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5173 ROSEWOOD PL",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302135116",
"telephone_number": "678-497-5324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN LIVING HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "ENADEGHE",
"authorized_official_first_name": "TAIYE",
"authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
"authorized_official_telephone_number": "678-497-5324",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.