Active NPI
Golden Homecare Services LLC
- Home Health Registered Nurse
- Maple Grove, MN
National Provider Identifier
1811724446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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, 2024
- 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
- Mr. Ekan Johnson Ekong
- Title
- Partner
- Phone
- (763) 498-4448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Jill Marie Goeman
- Samantha Goettsche
- Bonnie Goff, RN
- Gogo Home Care LLC (Amada Senior Care Minneapolis-St. Paul)
- Jonathan Gogolakis, DPT
- Julie Ann Gomer, DBH
- Gopher (Maple Grove) TRS LLC (Havenwood of Maple Glen)
- Zeleke Belay Goshu, RPH
- Christine Suzanne Goudge Walker, MD
- Caroline (Kate) Gourley, LICSW
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.