TEXAS GOLDEN AGE ADULT DAY CARE CENTER (NPI# 1013219617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013219617 |
| Entity Type | Organization |
| Organization Name | TEXAS GOLDEN AGE ADULT DAY CARE CENTER |
| Practice Address |
1115 W Pioneer Pkwy Arlington TX 76013-7624 |
| Practice Telephone | 8174593311 |
| Practice Fax Number | 8174593314 |
| Mailing Telephone | 8174593311 |
| Mailing Fax Number | 8174593314 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | AGNES N STURGEON (ADMINISTRATOR) |
| Authorized Official Telephone | 8174593311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
Chiropractic Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
1115 W PIONEER PKWY |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76013-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528433190 | Premier Age Care Corp | Clinic/Center | 1115 W Pioneer Pkwy, Arlington, TX 76013-7624 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944569 | Homecare Services of Arlington, Inc | Respite Care | 1021 Arlington Blvd # E616, Arlington, VA 22209-3926 | 2013-07-11 |
| 1760756555 | Quality Healthcare Services, Inc. | Respite Care | 944 S Wakefield St Ste 105, Arlington, VA 22204-3049 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818834 | Loving Home Care LLC | Respite Care | 8035 E R L Thornton Fwy Ste 245, Dallas, TX 75228-7018 | 2020-10-14 |
| 1891314498 | Sabmarc LLC | Respite Care | 24622 Heirloom Ln, Katy, TX 77493-2885 | 2020-04-14 |
| 1265063986 | Assured Primary Care Group, Inc. | Respite Care | 11927 Sonora Springs Dr, Tomball, TX 77375-1760 | 2020-01-31 |
| 1871131821 | Innovative Aging Concepts LLC | Respite Care | 1137 S Main St, Grapevine, TX 76051-7533 | 2019-12-19 |
| 1326501859 | Myesha Marie Boutte | Respite Care | 5680 Concord Rd Apt 10, Beaumont, TX 77708-5310 | 2019-04-11 |
| 1568934883 | Abat Healthcare Services, LLC | Respite Care | 9400 Bellaire Blvd Unit 606, Houston, TX 77036-4556 | 2018-12-27 |
| 1528540531 | Anam Residential Care | Respite Care | 7112 Welshman Dr, Fort Worth, TX 76137-6659 | 2018-09-05 |
| 1184103822 | Janelle Ellen Dolphin | Respite Care | 2501 Louis Henna Blvd Apt 518, Round Rock, TX 78664-5751 | 2018-08-13 |
| 1942786363 | Parents Defeating Autism Today | Respite Care | 400 S Eagle Dr, Crowley, TX 76036-3321 | 2018-07-18 |
| 1093215329 | Gracious Love Home Healhcare LLC | Respite Care | 4500 Blue Stem, Prosper, TX 75078-1733 | 2018-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.