Active NPI
Golden Path Services II, Corp
- Home Health Agency
- Racine, WI
National Provider Identifier
1992277792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.