Golden Age Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04330501 Issued in PA

Legal business name

GOLDEN AGE HOME CARE, INC

Practice address

600 Washington Ave FL 18Ubud2
Philadelphia, PA 19147-4836

Phone

(215) 689-0000

Fax

(215) 695-5000

NPI assigned

Apr 20, 2011

Last updated

Aug 27, 2020By 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

Mrs. Inga Zmirli

Title

President

Phone

(215) 689-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952692311. Details of each certification follow.

• CCN 398172 Home health agency · Active · Details

Home health agency certification: CCN 398172

Legal name

GOLDEN AGE HOME CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 26, 2011

Last certification

Mar 11, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 28, 2010 in PA

Enrollment address

600 Washington Ave
Unit 18
Philadelphia, PA 19147-4836

Listed as

Golden Age Home Care , IncCCN 398172 · All quality measures

Ownership

Proprietary

Certified

Nov 26, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1952692311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON AVE FL 18UBUD2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474836",
            "telephone_number": "215-689-0000",
            "fax_number": "215-695-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON AVE FL 18UBUD2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474836",
            "telephone_number": "215-689-0000",
            "fax_number": "215-695-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "ZMIRLI",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-689-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04330501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica D Goldblatt, DSW, LCSW, MBE
• Lindsay Gabrielle Goldblatt, MD
• Eric Goldburd, L.AC
• Golden Age Adult Day Center Inc
• Golden Age Care LLC
• Golden Brace Medical Supplied LTD
• Golden Care Home Health, LLC
• Golden Caring Transit Corp
• Golden Comfort Home Care Services LLC
• Golden Diagnostics

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.