Golden Age Adult Day Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOLDEN AGE ADULT DAY CENTER INC

Practice address

417 Callowhill St
Philadelphia, PA 19123-4025

Phone

(215) 600-3633

Fax

(215) 600-3634

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Nikolaos Fotiadis

Title

President

Phone

(215) 600-3633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1912250887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234025",
            "telephone_number": "215-600-3633",
            "fax_number": "215-600-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234025",
            "telephone_number": "215-600-3633",
            "fax_number": "215-600-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ADULT DAY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "FOTIADIS",
        "authorized_official_first_name": "NIKOLAOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-600-3633"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven K Goldberg, MD
• David Jason Goldberger, M.D.
• Erica D Goldblatt, DSW, LCSW, MBE
• Lindsay Gabrielle Goldblatt, MD
• Eric Goldburd, L.AC
• Golden Age Care LLC
• Golden Age Home Care, Inc
• Golden Brace Medical Supplied LTD
• Golden Care Home Health, LLC
• Golden Caring Transit Corp

• Adult Day Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.