Organization Active NPI

Golden Homecare Services LLC

  • Home Health Registered Nurse
  • Maple Grove, MN
National Provider Identifier
1811724446
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
GOLDEN HOMECARE SERVICES LLC
Practice address
10245 94TH Ave N
Maple Grove, MN 55369-4115
Phone
(763) 498-4448
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mr. Ekan Johnson Ekong
Title
Partner
Phone
(763) 498-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X NU Primary

Addresses

Primary practice location

10245 94TH Ave N
Maple Grove, MN 55369-4115

Mailing address

10245 94TH Ave N
Maple Grove, MN 55369-4115
Phone (763) 498-4448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1811724446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 94TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694115",
            "telephone_number": "763-498-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 94TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694115",
            "telephone_number": "763-498-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "EKAN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "763-498-4448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.