GOLDEN YEARS SENIORCARE INC. (NPI# 1255809927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255809927 |
| Entity Type | Organization |
| Organization Name | GOLDEN YEARS SENIORCARE INC. |
| Practice Address |
2650 Farley St Atlanta GA 30344-2327 |
| Practice Telephone | 6782351982 |
| Mailing Telephone | 6782351982 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Authorized Official Name | JENNIFER STOVALL (CEO) |
| Authorized Official Telephone | 6782351982 |
| Authorized Official Credential | CERTIFITED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1073011615 | 05 |
| Street Address |
2650 FARLEY ST |
| City | ATLANTA |
| State | GA |
| Zip Code | 30344-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073011615 | Jennifer S Stovall | Nurse's Aide | 2650 Farley St, Atlanta, GA 30344-2327 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1174138564 | Divine Angels Home Care | Home Health | 1201 Peachtree St Ne Bldg 400, Atlanta, GA 30361-3507 | 2020-09-11 |
| 1588272041 | Baron Home Group LLC | Home Health | 1700 Withmere Way, Atlanta, GA 30338-2839 | 2020-07-21 |
| 1699383729 | Benevolent Home and Health LLC | Home Health | 290 Mlk Jr Dr Se Unit 4409, Atlanta, GA 30312-2540 | 2020-07-15 |
| 1487272324 | Providence Healthcare Services, Inc | Home Health | 1230 Peachtree St Ne Fl 19, Atlanta, GA 30309-3574 | 2020-07-07 |
| 1558985754 | Peoples House Atl 1 LLC | Home Health | 707 Park Ave Ne Apt 1380, Atlanta, GA 30326-3410 | 2020-06-03 |
| 1669092391 | Abide Infusions and Home Care | Home Health | 741 Piedmont Ave Ne Ste 130, Atlanta, GA 30308-1420 | 2020-04-22 |
| 1326677790 | Art of Care Home Health Care LLC | Home Health | 1155 Lavista Rd Ne Apt 1225, Atlanta, GA 30324-3748 | 2020-04-07 |
| 1396372363 | Lamar Agency | Home Health | 3040 Peachtree Rd Nw Unit 1010, Atlanta, GA 30305-2290 | 2020-03-26 |
| Find all providers in ATLANTA | ||||
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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.