Organization Active NPI

Golden Path Services II, Corp

  • Home Health Agency
  • Racine, WI
National Provider Identifier
1992277792
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN PATH SERVICES II, CORP
Practice address
1122 Grove Ave
Racine, WI 53405-3028
Phone
(262) 748-2596
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Nicosia King
Title
President
Phone
(262) 748-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1122 Grove Ave
Racine, WI 53405-3028

Mailing address

11019 W Villa Ave
Milwaukee, WI 53224-2590
Phone (262) 748-2596

National Provider Directory

National Provider Directory

Locations

1122 Grove Ave
Racine, WI 53405
Phone (262) 748-2596

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1992277792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 W VILLA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242590",
            "telephone_number": "262-748-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 GROVE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053028",
            "telephone_number": "262-748-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PATH SERVICES II, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOSIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-748-2596"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.