Golden Evolution LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOLDEN EVOLUTION LLC

Practice address

15700 W 10 Mile Rd
Suite 115
Southfield, MI 48075-2149

Phone

(248) 281-3477

Fax

(248) 281-5487

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Lanita Gordypulliam

Title

Owner

Phone

(248) 403-4576

Specialties & licenses 1

Addresses

Other names 1

• Nurturing Nest MIHP Doing business as

Locations

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1992184170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 W 10 MILE RD",
            "address_2": "SUITE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752149",
            "telephone_number": "248-281-3477",
            "fax_number": "248-281-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 W 10 MILE RD",
            "address_2": "SUITE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752149",
            "telephone_number": "248-281-3477",
            "fax_number": "248-281-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "GORDYPULLIAM",
        "authorized_official_first_name": "LANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-403-4576"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurturing Nest MIHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Marie Gola
• Gold Rush Medical Supplies, LLC
• Nancy Beth Goldberg, MSW
• Rona S Goldberg
• Golden Age Home Health, Inc
• Golden Years Advocates, LLC
• Natalie Jean Golden, RRT
• Goldie Polter Therapy PLLC
• Lucy Gonzalez Golding, PHYSICAL THERAPIST
• Anne Goldman, OTR

• In Home Supportive Care Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.